Sleep Disturbance and Self-management in Adults With Subarachnoid Hemorrhage: A Qualitative Study

Clin Nurs Res. 2022 May;31(4):632-638. doi: 10.1177/10547738211064036. Epub 2021 Dec 27.

Abstract

Subarachnoid hemorrhage (SAH) survivors often experience sleep disturbances. Little is known about sleep-management practices used to improve their sleep. The purpose of this qualitative study was to explore interest in and engagement with self-management practices to promote sleep health in SAH survivors. We conducted a cross-sectional qualitative study using semi-structured interviews with a convenience sample of 30 SAH survivors recruited from a university hospital. We conducted content analysis of interview transcripts. Three themes and 15 subcategories were identified: (1) sleep disturbances (difficulties falling asleep, wake after sleep onset, daytime sleepiness, too much or insufficient sleep, and poor sleep quality); (2) sleep-management practices (exercise, regular sleep schedule, relaxation, keeping busy and staying active, changing beverage intake, taking supplements, taking medications, recharging energy, and barriers to sleep management); and (3) consulting with healthcare providers (discussing sleep problems with healthcare providers). Self-management strategies focusing on health-promoting behaviors may improve SAH survivors' sleep health.

Keywords: qualitative study; self-management; sleep disturbance; stroke; subarachnoid hemorrhage.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Humans
  • Self-Management*
  • Sleep
  • Sleep Wake Disorders* / therapy
  • Subarachnoid Hemorrhage* / complications
  • Subarachnoid Hemorrhage* / therapy