Study on the latent classes of post-stroke depression in patients with acute stroke and nursing insights
10.3761/j.issn.0254-1769.2025.07.003
- VernacularTitle:急性期脑卒中患者卒中后抑郁的潜在类别及护理启示
- Author:
Xuan SU
1
;
Qiaomei CHENG
;
Xiaowan LI
;
Kexin WANG
;
Peixi WANG
;
Mengwei XIAO
;
Yu WANG
;
Nannan LI
;
Danying XIE
Author Information
1. 475004 开封市 河南大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Acute Phase;
Stroke;
Post-Stroke Depression;
Latent Category Analysis;
Degree of Neurologi-cal Deficit;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(7):785-791
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore potential categories of post-stroke depression in acute-phase stroke patients and its correlation with the degree of neurological deficits,and to provide references for healthcare professionals in developing targeted interventions.Methods Using convenience sampling,patients with acute stroke who were hospitalized in neurological ward of 2 tertiary general hospitals in Henan Province from January to April 2024 were selected as the survey participants.The investigation was conducted using the General Information Questionnaire,the National Institute of Health Stroke Scale,and the Patient Health Questionnaire-9.The correlation between potential categories of post-stroke depression and the degree of neurological deficit was analysed using unordered multiclassified logistic regression.Results Post-stroke depression score was 10.22±3.61 in 193 acute-phase stroke patients,and post-stroke depression could be categorized into 3 potential categories,namely"low depressive symptoms"(44.6％),"melancholic depression"(15.0％),and"atypical depression"(40.4％).There was a significant difference in the degree of neurological deficits(H=38.074,P＜0.001).Compared with severe neurological deficits,patients with mild deficits were more likely to be categorized as"melancholic depression"(OR=0.016,P=0.001)and"atypical depression"(OR=0.040,P＜0.001),and patients with moderate deficits were more likely to be classified as"atypical depression"(OR=0.085,P=0.001).Conclusion Post-stroke depression in acute-phase stroke patients has obvious categorization characteristics,and it is recommended that healthcare professionals should pay more attention to patients with different degrees of neurological deficits and adopt targeted interventions according to the different categories of post-stroke depression in order to alleviate their depressive symptoms.
