约旦首次中风后患者和护理人员的抑郁症。

IF 1.3 4区 医学 Q3 PSYCHIATRY
Belal Aldabbour, Majdi Al Qawasmeh, Samah Elamassie, Amal Abuabada, Khalid Abdelrahman, Mohammad Zahran, Mays Khweileh, Khalid El-Salem
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引用次数: 0

摘要

背景:卒中后患者抑郁已得到广泛认可,而护理者抑郁却未得到充分研究。患者抑郁与护理者抑郁之间的相互作用也不清楚:方法:这项横断面和随访研究招募了 108 例首次中风后患者-护理者二人组。记录了人口统计学和临床数据、中风严重程度(NIH 中风量表评分)、功能结果(Barthel 指数)和残障程度(修正的 Rankin 评分)。我们使用自我报告的《患者健康问卷-9》对患者和护理人员进行了入院时和入院 1 个月后的抑郁症状筛查。我们计算了抑郁症患病率和严重程度的变化。通过皮尔逊相关性检验和逻辑回归分析来评估两组之间的相关性和抑郁症的重要预测因素:共有 89 名患者和 96 名护理人员对两次筛查做出了回应。入院时和一个月后,分别有 13.5% 和 27.0% 的患者和 9.4% 和 18.8% 的护理人员报告患有抑郁症。护理人员入院时的抑郁情绪与患者入院时的抑郁情绪有明显的相关性(P=0.031)。此外,1 个月后护理人员的抑郁也是患者抑郁的重要预测因素(P=0.008)。1 个月后照护者抑郁的预测因素包括:女性照护者(P=0.026)、照护男性患者(P=0.045)、1 个月后 mRS 评分较高(P=0.013)、入院时间较长(P=0.017)、照护者年龄在 17-35 岁之间(P=0.030)与 54-70 岁之间(P=0.030)之间、照护卒中后 1 个月抑郁的患者(P=0.003):结论:卒中幸存者及其照护者都是抑郁症的高危人群,这两类人群的抑郁症之间可能存在相互作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient and Caregiver Depression in Jordan After a First Stroke.

Background: Poststroke depression among patients is well-recognized, while caregiver depression is understudied. The interaction between patient and caregiver depression is also unclear.

Methods: This cross-sectional and follow-up study recruited 108 patient-caregiver dyads after the first-ever stroke. Demographic and clinical data, stroke severity (NIH Stroke Scale score), functional outcome (Barthel Index), and residual disability (modified Rankin Score) were documented. Using the self-reported Patient Health Questionnaire-9, we screened patients and caregivers for depressive symptoms upon admission and after 1 month. Changes in the prevalence and severity of depression were calculated. The Pearson correlation test and logistic regression analysis were conducted to evaluate both the correlation between both groups and significant predictors of depression.

Results: In total, 89 patients and 96 caregivers responded to both screenings. Depression was reported by 13.5% and 27.0% of patients on admission and after 1 month, and 9.4% and 18.8% of caregivers, respectively. Caregiver depression on admission was significantly correlated with patient depression on admission (P=0.031). In addition, depression in caregivers after 1 month was a significant predictor of patient depression (P=0.008). Predictors of caregiver depression after 1 month were female caregivers (P=0.026), caring for a male patient (P=0.045), higher mRS scores after 1 month (P=0.013), longer admissions (P=0.017), caregiver between 17 and 35 years of age compared with 54 to 70 years of age (P=0.030), and caring for a patient with poststroke depression at 1 month poststroke (P=0.003).

Conclusions: Both stroke survivors and their caregivers are at high risk for depression, with a potential interaction between depression in the 2 groups.

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来源期刊
CiteScore
2.30
自引率
10.50%
发文量
159
审稿时长
>12 weeks
期刊介绍: Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
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