加尔各答某医院神经内科门诊急性脑卒中患者卒中后抑郁的发生率及危险因素

C. Ghosh, U. Adhikari
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引用次数: 0

摘要

背景:卒中后抑郁被认为是卒中幸存者中最常见的情绪障碍;在中风后5年的任何时候,三分之一的中风幸存者都会受到影响。研究者选择这个话题是为了关注中风幸存者在中风后的情绪健康。本研究旨在确定急性脑卒中生存患者脑卒中后抑郁的发生率(短期发生率)及危险因素。对象和方法:本描述性调查设计在加尔各答某医院的神经内科门诊部进行。采用目的抽样技术,选取104例急性(脑卒中后3个月内)脑卒中存活患者进行研究。采用Montgomery-Asberg抑郁评定量表确定脑卒中后抑郁的发生率,并分析脑卒中后抑郁的危险因素;采用美国国立卫生研究院卒中量表、Barthel指数和简易精神状态检查。工具在最终研究之前进行了预测试。结果:研究结果显示,卒中后抑郁的发生率(短期发生率)为52%(95%可信区间:42.2% ~ 61.8%)。卡方值显示,卒中后抑郁与发病、患病天数、入院次数、卒中严重程度、独立水平损害和认知功能损害之间存在显著相关。结论:明确脑卒中后抑郁的危险因素,护士可以对脑卒中生存患者进行筛查,早期发现脑卒中后抑郁。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence and risk factors of poststroke depression among acute stroke survival patients attending neurology outpatient department of a selected hospital in Kolkata
Background: Poststroke depression is consider as the most common emotional disorder of stroke survivors; it can affect one among three of stroke survivors at any time up to 5 years after stroke. Researcher chooses the topic to give focus on the emotional health of the stroke survivors after the stroke. This study was conducted to identify the incidence (short-term incidence) and risk factors of poststroke depression among acute stroke survival patients. Subjects and Methods: This descriptive survey design was conducted at neurology outpatient department of a selected hospital in Kolkata. Total 104 acute (within 3 months following stroke) stroke survival patients were selected by purposive sampling technique for this study purpose. Incidence of poststroke depression was identified by Montgomery–Asberg depression rating scale and for risk factors of poststroke depression; National Institutes of Health Stroke Scale, Barthel Index, and Mini-mental status examination were used. Tool was pretested before the final study. Results: The findings of the study showed that the incidence (short-term incidence) of poststroke depression was 52% (95% confidence interval: 42.2%–61.8%). The Chi-square value reveals that there is a significant association between poststroke depression and deterioration of disease condition from the onset of the disease, days of suffering from the disease, number of admission for the disease, severity of stroke, impairment of level of independence, and impairment of cognitive function. Conclusion: Identifying the risk factors of poststroke depression, the nurses can screen the stroke survival patients for early detection of depression following stroke.
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