Analysis of the trend and influencing factors of the prevalence of post-stroke subthreshold depression in stroke patients
10.3760/cma.j.issn.1674-2907.2019.34.008
- VernacularTitle:脑卒中患者卒中后阈下抑郁患病率变化趋势及影响因素分析
- Author:
Xiaoqiu MU
1
;
Linlin ZHANG
;
Yumei LYU
;
Hailian XU
Author Information
1. 大庆油田总医院神经内科 163312
- Keywords:
Stroke;
Subthreshold depression;
Prevalence;
Change trend;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2019;25(34):4441-4445
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the dynamic trend and main influencing factors of the prevalence of subthreshold depression after stroke,so as to provide reference for the primary prevention and nursing intervention of post-stroke depression. Methods A total of 123 stroke patients admitted to the department of neurology of Daqing People's Hospital from September 2017 to June 2018 were selected by convenience sampling method. Major Depressive Disorder Scale (CES-D), Hamilton Depression Scale (HAMD-17), Behavioral Inhibition System and Behavioral Activation System Scale (BIS/BAS) and National Institutes of Health Stroke Scale (NIHSS) were applied in the investigation. Results The prevalence of subthreshold depression after stroke at baseline, 3 months and 6 months was 25.6%,18.6% and 20.4% respectively, and there was no statistical significant in the difference in prevalence at each time point (P＞ 0.05). The results of regression analysis showed that, at the time point of 2 weeks after stroke, gender, age and behavioral activation level were the main factors of subthreshold depression after stroke; after 3 months, age and behavioral activation level were the main factors of subthreshold depression after stroke; after 6 months, the number of complications and the level of behavioral activation were the main factors of subthreshold depression after stroke. Conclusions The prevalence rate of post-stroke subthreshold depression decreased first and then increased with time. The main factors of post-stroke subthreshold depression were different at each time point, and medical staff should treat differently according to different time points, so as to achieve the primary prevention of post-stroke depression.
