Stroke
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Aged 18-75 years; 2.Stroke diagnosis confirmed by computed tomography (CT) or magnetic resonance imaging (MRI); 3.National Institutes of Health Stroke Scale (NIHSS) score ranging from 5 to 15 (indicating moderate stroke severity); 4.Pittsburgh Sleep Quality Index (PSQI) global score of 8 or higher; 5.Insomnia Severity Index (ISI) total score of 15 or higher; 6.Provision of signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Uncontrolled severe systemic diseases (e.g., Class III-IV heart failure, uncontrolled severe hypertension, severe chronic obstructive pulmonary disease, poorly controlled diabetes mellitus). 2.History of pre-existing sleep disorders prior to stroke, including diagnosed primary insomnia, restless legs syndrome, narcolepsy, rapid eye movement sleep behavior disorder, or sleep problems attributable to specific environmental factors or circadian rhythm disorders. 3.Pre-stroke history of neuropsychiatric conditions known to affect cognition or olfaction (e.g., Alzheimer's disease, Parkinson's disease, traumatic brain injury, schizophrenia, bipolar disorder), or current severe depression (Hamilton Depression Rating Scale-17 >= 24). 4.Current use of medications potentially affecting sleep (e.g., sedative-hypnotics, antipsychotics, corticosteroids) without possibility of discontinuation or adjustment. 5.History of olfactory dysfunction, chronic rhinitis, severe nasal septal deviation, or other nasal disorders affecting olfaction, or prior anosmia. 6.Severe aphasia or neglect impairing effective communication and cooperation. 7.Severe cardiac, pulmonary, hepatic, or renal insufficiency; history of malignancy or psychiatric disorders. 8.Known allergy to the odorants used in the study. 9.Recent upper respiratory tract infection (e.g., within 15 days prior to enrollment).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Subjective Sleep Quality; | — |
Secondary
| Measure | Time frame |
|---|---|
| Insomnia Severity;Daytime Functioning and Mood;Objective Sleep Parameters; | — |
Countries
China
Contacts
Yantai Yuhuangding Hospital