•  
  •  
 

Rehabilitation Practice and Science

Translated Title

中老年人中風後憂鬱症之危險因子相關分析

Abstract

In order to evaluate the prevalence and risk factors of post-stroke depression, this study collected the data of 102 stroke patients from the outpatient clinic of the neurology and rehabilitation departments in a medical center in Taipei. The patients' objective data, such as age, infarction area of the brain, duration from the stroke attack to the time of our study, number of stroke attacks, antidepressant use, and rehabilitation program, were obtained from the history chart. A questionnaire evaluation of the swallowing function, depression status, and functional independence measure was also done by interviewing the patients individually. The results showed that the prevalence of depression was 33.3% in our study, and that 64.7% of that number were under antidepressant treatment. The fact that post-stroke depression is under-diagnosed should be of note. A significantly negative correlation between the depression score and the functional independence measure was obtained from our analysis, and the depression score was also negatively correlated to most of the sub-scales of the functional independence measure. Among the sub-scales, the score for self-care was the item most correlated to the depression score. Difficulties were encountered while evaluating the depression status in stroke patients since some symptoms of stroke may resemble the diagnostic criteria of major depression clinically, and some stroke patients may develop aphasia or cognitive disturbance. Therefore, being the most correlated score to the depression status, the self-care subscale of the functional independence measure may provide an easy and rapid way to evaluate the depression status in those who are difficult to evaluate clinically, and it can also be a useful reference for clinical doctors when prescribing antidepressants for post-stroke patients.

Language

Traditional Chinese

First Page

149

Last Page

159

Download

Share

COinS