A Study On The Prevalence And Related Factors Of Post-stroke Depression In Stroke Patients In A Level 3 Hospital In Jiangmen City

Objectives1.To investigate the prevalence and the dynamic evolvement of post-stroke depression(PSD)in the stage of acute stroke of patients hospitalized in the department of neurology of a level 3 hospital in Jiangmen city.2.To explore the related factors of post-stroke depression(PSD),in order to facilitate clinical observation,intervention and treatment at the early stage.Materials and Methods A follow-up investigation(T1: 2 weeks after stroke;T2: 4 weeks after stroke)was conducted from August 2018 to June 2019.Totally 324 stroke patients who met the inclusion criteria were selected by convenient sampling.The subjects were given the general information questionnaire,the simplified Chinese version of the Patient Health Questionnaire(PHQ-9),the national institutes of health stroke scale(NIHSS),the Barthel index scale of daily life activities(BI),and the social support rating scale(SSRS).The scales were immediately checked after fufillment,and SPSS25.0 was used to establish the database and conduct statistical analysis.Results1.The prevalence of post-stroke depression was 52.9% at observation point T1;while the prevalence was 40.8% at point T2.The PHQ-9 score at T2 was less than that at T1(P<0.05).2.The total SSRS score,objective support score,subjective support score and support utilization score of the PSD group were all lower than that of the non-PSD group(P<0.05).3.The NIHSS score of the study subjects at T2 was less than that at T1(P<0.05).The NIHSS score of the PSD group was higher than that of the non-PSD group at both T1 and T2(P<0.05).4.The BI score of respondents at T1 and T2 have no statistical differences(P>0.05).The BI score of the PSD group was lower than that of the non-PSD group at both points.(P<0.05).5.Logistic regression results showed that living alone or not,medical payment,family economic conditions,NIHSS score,BI score and SSRS score were associated with PSD.There were higher risk of PSD for patients who were living without family member,out-of-pocket medical expenditure,in poor family economic conditions and getting a higher NIHSS score,which is considered the risk factors for PSD(OR > 1);while the risk of PSD is lower for patients with higher BI score and SSRS score(OR < 1),which is considered the protection factors of PSD.Conclusions1.The early prevalence of PSD in this study was higher than the national average prevalence of PSD,suggesting that adequate attention should be paid to psychological health in the stage of acute stroke in clinical nursing work.The prevalence of PSD at 4 weeks after stroke is lower than that at 2 weeks after stroke,suggesting that active and reasonable treatment is helpful to reduce the occurrence of PSD.2.Living alone or not,medical payment,family economic status,stroke severity,daily living activity score and social support level are the factors related to the prevalence of PSD.The effects of PSD related factors were not the same at different time after stroke.In the process of treatment,improvement of daily life activities and social support for stroke patients may help reduce the occurrence of PSD.