Related factors of post-stroke depression in patients with cerebral infarction during hospitalization in rehabilitation department
10.3969/j.issn.1006-9771.2024.02.012
- VernacularTitle:脑梗死患者康复科住院期间卒中后抑郁程度的相关因素
- Author:
Fang LI
1
;
Huizhen LIU
2
;
Liping MEI
3
;
Tong ZHANG
1
;
Haojie ZHANG
4
;
Bingjie LI
3
;
Jun ZHAO
3
Author Information
1. Department of Intensive Care Unit, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2. Department of Emergency, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
3. Department of Neurology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
4. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
cerebral infarction;
post-stroke depression;
rehabilitation;
dysfunction;
related factors
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(2):217-222
- CountryChina
- Language:Chinese
-
Abstract:
ObjectTo explore the risk factors related to the intensity of post-stroke depression in patients with cerebral infarction during hospitalization in the rehabilitation department. MethodsThe hospital consultation records of cerebral infarction patients in Beijing Bo'ai Hospital from December, 2019 to February, 2023 were reviewed from the hospital information system, and those who were diagnosed as depression visited the department of psychology were selected. It was collected including general information of sexes, ages, education levels, matrimony; medical features of course, location, affected side, sensory disorders, aphasia, agrypnia, dysphagia, hand-shoulder syndrome, constipation; functioning of muscle strength and Brunnstrom stages; and scores of Mini-Mental State Examination (MMSE), National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA), Fugl-Meyer Assessment-Balance (FMA-B), modified Barthel Index (MBI) and Hamilton Depression Scale (HAMD). Patients with HAMD scores ≤ 20 were as the low group, and those > 20 were as the high group. ResultA total of 2 403 hospitalized stroke patients were included, out of which 269 patients with cerebral infarction were diagnosed as depression and visited the department of psychology; while 103 cases were in the low group and 166 cases were in the high group. The incidence of constipation was less, and the incidence of dysphagia and shoulder-hand syndrome was higher in the high group (χ2 > 5.379, P < 0.05), with weaker strength of iliopsoas muscle and quadriceps muscle, earlier of Brunnstrom stage of lower extremities and hands, and worse scores of NIHSS, MMSE, FMA, FMA-B and MBI (|Z| > 2.020, t > 2.171, P < 0.05). Logistic regression showed that constipation (OR = 0.435), quadriceps muscle strength (OR = 0.782) and dysphagia (OR = 2.602) related to the intensity of post-stroke depression in convalescent patients (P < 0.05). ConclusionPost-stroke dysphagia and poor quadriceps muscle strength may exacerbate post-stroke depression; however, constipation may not.
