急性期出院后居家卒中幸存者抑郁相关因素的结构方程模型随时间的变化

Takashi Kimura
{"title":"急性期出院后居家卒中幸存者抑郁相关因素的结构方程模型随时间的变化","authors":"Takashi Kimura","doi":"10.33790/jrpr1100142","DOIUrl":null,"url":null,"abstract":"Purpose: To clarify the changes in causal factors related to depression over time among stroke survivors living at home since discharge using structural equation model analysis. Methods: This was a longitudinal study using secondary data from the Stroke Recovery in Underserved Population database. This study used the Functional Independence Measure and the Center for Epidemiologic Studies Depression Scale to assess based on data collected at three time points: at discharge, 3 months after discharge, and 12 months after discharge. Structural equation modelling analysis was performed after conducting exploratory factorial and confirmatory factorial analysis. Results: The results of factorial and structural equation modelling analysis showed that all factor loadings and model fits were acceptable. Upon comparing the three times points, the structural equation model related to depression changed. At discharge, depressive symptoms were mainly impacted by personal relationships; at three months after discharge, they were mainly impacted by physical symptoms; at 12 months after discharge, they were mainly impacted by living activities and cognitive function. Locomotion and three items related to depressive symptoms commonly appeared at all three time points. Conclusion: The factors related to depression symptoms change over time post discharge. Therefore, this study suggests that an effective rehabilitation for ensuring that stroke survivors living at home can experience high quality of life should focus, at the physical level, on activities with gaps between performance and capability for, for example, locomotion and sphincter control; at the psychological level, on ensuring that stroke survivors have access to appropriate personal relationships without stress, and intervenors should consider survivors’ depressive symptoms at each relevant time point.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Change Over Time in the Structural Equation Model of Factors Related to Depression in Stroke Survivors Living at Home Since Discharge from the Acute Phase\",\"authors\":\"Takashi Kimura\",\"doi\":\"10.33790/jrpr1100142\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose: To clarify the changes in causal factors related to depression over time among stroke survivors living at home since discharge using structural equation model analysis. Methods: This was a longitudinal study using secondary data from the Stroke Recovery in Underserved Population database. This study used the Functional Independence Measure and the Center for Epidemiologic Studies Depression Scale to assess based on data collected at three time points: at discharge, 3 months after discharge, and 12 months after discharge. Structural equation modelling analysis was performed after conducting exploratory factorial and confirmatory factorial analysis. Results: The results of factorial and structural equation modelling analysis showed that all factor loadings and model fits were acceptable. Upon comparing the three times points, the structural equation model related to depression changed. At discharge, depressive symptoms were mainly impacted by personal relationships; at three months after discharge, they were mainly impacted by physical symptoms; at 12 months after discharge, they were mainly impacted by living activities and cognitive function. Locomotion and three items related to depressive symptoms commonly appeared at all three time points. Conclusion: The factors related to depression symptoms change over time post discharge. Therefore, this study suggests that an effective rehabilitation for ensuring that stroke survivors living at home can experience high quality of life should focus, at the physical level, on activities with gaps between performance and capability for, for example, locomotion and sphincter control; at the psychological level, on ensuring that stroke survivors have access to appropriate personal relationships without stress, and intervenors should consider survivors’ depressive symptoms at each relevant time point.\",\"PeriodicalId\":413567,\"journal\":{\"name\":\"Journal of Rehabilitation Practices and Research\",\"volume\":\"33 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Rehabilitation Practices and Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33790/jrpr1100142\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rehabilitation Practices and Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33790/jrpr1100142","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的:利用结构方程模型分析,探讨脑卒中患者出院后与抑郁相关的致病因素随时间的变化。方法:这是一项纵向研究,使用来自服务不足人群中风恢复数据库的辅助数据。本研究采用功能独立性量表和流行病学研究中心抑郁量表,根据出院时、出院后3个月和出院后12个月三个时间点收集的数据进行评估。在进行探索性因子分析和验证性因子分析后进行结构方程建模分析。结果:因子和结构方程模型分析结果表明,各因子负荷和模型拟合均可接受。对比三个时间点,与抑郁相关的结构方程模型发生了变化。出院时,抑郁症状主要受人际关系的影响;出院后3个月,他们主要受到身体症状的影响;出院后12个月,患者主要受生活活动和认知功能的影响。运动和三个与抑郁症状相关的项目通常在这三个时间点出现。结论:出院后抑郁症状相关因素随时间变化。因此,本研究表明,为了确保中风幸存者在家中能够体验高质量的生活,有效的康复应该在身体层面上关注表现和能力之间存在差距的活动,例如运动和括约肌控制;在心理层面,确保中风幸存者在没有压力的情况下获得适当的个人关系,干预者应考虑幸存者在每个相关时间点的抑郁症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Change Over Time in the Structural Equation Model of Factors Related to Depression in Stroke Survivors Living at Home Since Discharge from the Acute Phase
Purpose: To clarify the changes in causal factors related to depression over time among stroke survivors living at home since discharge using structural equation model analysis. Methods: This was a longitudinal study using secondary data from the Stroke Recovery in Underserved Population database. This study used the Functional Independence Measure and the Center for Epidemiologic Studies Depression Scale to assess based on data collected at three time points: at discharge, 3 months after discharge, and 12 months after discharge. Structural equation modelling analysis was performed after conducting exploratory factorial and confirmatory factorial analysis. Results: The results of factorial and structural equation modelling analysis showed that all factor loadings and model fits were acceptable. Upon comparing the three times points, the structural equation model related to depression changed. At discharge, depressive symptoms were mainly impacted by personal relationships; at three months after discharge, they were mainly impacted by physical symptoms; at 12 months after discharge, they were mainly impacted by living activities and cognitive function. Locomotion and three items related to depressive symptoms commonly appeared at all three time points. Conclusion: The factors related to depression symptoms change over time post discharge. Therefore, this study suggests that an effective rehabilitation for ensuring that stroke survivors living at home can experience high quality of life should focus, at the physical level, on activities with gaps between performance and capability for, for example, locomotion and sphincter control; at the psychological level, on ensuring that stroke survivors have access to appropriate personal relationships without stress, and intervenors should consider survivors’ depressive symptoms at each relevant time point.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信