卒中后抑郁的早期筛查及其对功能预后、生活质量和死亡率的影响：荟萃分析。

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-09-19 DOI:10.5498/wjp.v14.i9.1397

Jie Dai, Sha-Sha Zhao, Su-Xiang Zhang

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引用次数: 0

摘要

背景：目的：评估早期 PSD 筛查对功能预后、生活质量和死亡率的影响：从最初的 1065 篇文章中筛选出 6 项符合纳入标准的研究进行分析。功能结果采用功能独立性测量法（FIM）进行测量：分析结果显示，与对照组相比，PSD筛查组的FIM评分有明显改善[标准化平均差（SMD）=8.90，95%置信区间（CI）：4.65-13.15，P<0.01]。生活质量采用卒中生活质量量表（Stroke-Specific Quality of Life Scale）进行评估，筛查组的得分明显更高（SMD = 20.83，95% 置信区间（CI）：15.27-26.38，P <0.01）。死亡率分析表明，PSD筛查组的五年死亡率有所下降：结论：早期 PSD 筛查可促进中风幸存者的功能恢复、改善生活质量并降低死亡率。因此，将 PSD 筛查纳入常规卒中护理可改善患者的长期预后。

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Early screening for post-stroke depression and its effect on functional outcomes, quality of life, and mortality: A meta-analysis.

Background: Post-stroke depression (PSD) is a common and debilitating condition affecting stroke survivors, significantly impacting their recovery and overall quality of life.

Aim: To assess the effects of early PSD screening on functional outcomes, quality of life, and mortality.

Methods: From an initial pool of 1065 articles, 6 studies met the inclusion criteria and were selected for analysis. Functional outcomes were measured using the functional independence measure (FIM).

Results: The analysis revealed a significant improvement in FIM scores for a PSD screening group compared to controls [standardized mean difference (SMD) = 8.90, 95% confidence interval (CI): 4.65-13.15, P < 0.01]. Quality of life was assessed using the Stroke-Specific Quality of Life Scale, with the screening group showing significantly higher scores (SMD = 20.83, 95%CI: 15.27-26.38, P < 0.01). Mortality analysis indicated a reduction in five-year mortality rates for the PSD screening group.

Conclusion: Early PSD screening enhances functional recovery, improves quality of life, and reduces mortality rates in stroke survivors. Thus, integrating PSD screening into routine stroke care improves long-term outcomes for patients.

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.