This study will include stroke patients aged 18-80 years and their caregivers. Demographic data such as age, height, weight, and comorbidities will be recorded, along with stroke-specific characteristics including duration of stroke, affected side, lesion location, and etiology. Patients' functional status will be assessed using the Modified Rankin Scale, Brunnstrom Stages, and the Modified Barthel Index, while ambulation status will be documented with the Holden Scale. Caregivers will complete the Insomnia Severity Index to assess the severity of sleep disturbances and the Hospital Anxiety and Depression Scale to evaluate anxiety and depressive symptoms. Caregiver burden will be measured using the Zarit Caregiver Burden Scale. The study aims to investigate the relationship between caregivers' mood, insomnia severity, and caregiver burden.
Age 18-80 years.
Clinical diagnosis of stroke (ischemic or hemorrhagic; first-ever or recurrent).
Ability of both the patient and caregiver to communicate in Turkish and participate in evaluations (mRS, Brunnstrom, Modified Barthel Index, Holden).
Caregiver must have been the primary caregiver for the patient for at least 1 month.
History of subarachnoid hemorrhage.
Inability to communicate effectively due to severe aphasia or severe cognitive impairment.
Terminal illness (life expectancy < 6 months).
Inability to reliably complete questionnaires due to a psychiatric disorder.
stroke
Cohort
Cross-sectional
no intervention
Other interventionno intervention
Zarit Caregiver Burden Scale (ZCBS)
Measures the perceived caregiver burden related to physical, emotional, social, and financial strain. Score Range: 0-88 Higher scores indicate higher caregiver burden.
Insomnia Severity Index (ISI)
Assesses the severity of insomnia symptoms experienced by caregivers. Score Range: 0-28 Higher scores indicate more severe insomnia.
Hospital Anxiety and Depression Scale - Anxiety Subscale (HADS-A)
Evaluates the presence and severity of anxiety symptoms in caregivers. Score Range: 0-21 Higher scores indicate more severe anxiety.
Hospital Anxiety and Depression Scale - Depression Subscale (HADS-D)
Assesses depressive symptom severity in caregivers. Score Range: 0-21 Higher scores indicate more severe depression.
Modified Rankin Scale (mRS)
Clinician-rated scale assessing global disability in stroke patients. Score Range: 0-6 Higher scores indicate greater disability.
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