Objective To investigate the sleep quality and influencing factors of sleep disorders in patients with acute ischemic stroke (AIS), and their correlation with executive function.

Methods A total of 116 patients with AIS were collected by convenience sampling method. The general information of patients was collected. The Pittsburgh Sleep Quality Index (PSQI) and Digital Color Line Test (CTT) were used to evaluate the sleep quality and executive function of patients. According to the final PSQI score, the patients were divided into the sleep disorder group and non-sleep disorder group. Binary logistic regression analysis was used to analyze the correlation between sleep quality and executive function of AIS patients.

Results The PSQI score of 116 AIS patients was (7.35 ± 4.28), The PSQI score of 116 AIS patients was (7.35 ± 4.28) points. The scores of executive function were as follows: Type I connection (85.96 ± 39.25)s, Type II connection (190.53 ± 76.83)s, and interference effect connection (104.57 ± 53.46)s. The results of multivariate analysis showed that women had an increased risk of sleep disorders than men (P ＜ 0.05); The time consumed for connecting type II in the sleep disorder group was higher than that in normal sleep group (P ＜ 0.05). The results of Pearson correlation analysis showed that the total score of PSQI was positively correlated with both line type I and line type II (P ＜ 0.05). The sleep duration and sleep efficiency were positively correlated with connection type I, connection type II and connection disturbance effect, and the daytime dysfunction was positively correlated with connection type I and connection type II (P ＜ 0.05).

Conclusions The sleep quality in patients with AIS is at a critical level, and the early assessment of sleep quality in patients with AIS should be performed clinically to identify patients with sleep disorders and intervene as early as possible to provide guidance for early prevention of executive function.