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Published on: May 22, 2019
Knowledge, attitude, and practice toward post-stroke depression among stroke caregivers: a cross-sectional study and
Wei Zhang1,2, Haoxiang Zhang3, Yong Xu3
1Neurorehabilitation Centre, Rehabilitation Research Centre, Beijing Bo'ai Hospital, Beijing, 100068, China.
Caregivers of stroke patients in China show insufficient knowledge about post-stroke depression (PSD) but have positive attitudes and practices. Educational interventions are needed to improve PSD recognition and management, enhancing patient care.
Area of Science:
- Neurology
- Psychiatry
- Rehabilitation Medicine
Background:
- Post-stroke depression (PSD) significantly impacts stroke recovery.
- Caregivers are vital in managing PSD, yet their understanding in China is understudied.
Purpose of the Study:
- To evaluate the knowledge, attitude, and practice (KAP) of Chinese caregivers regarding PSD.
- To identify factors influencing caregivers' KAP towards PSD.
Main Methods:
- A cross-sectional study involving 497 caregivers of stroke patients in Beijing.
- Data collected via questionnaires on demographics, PSD knowledge, attitude, and practice.
- Statistical analyses included descriptive statistics, logistic regression, and structural equation modeling (SEM).
Main Results:
- Caregivers demonstrated insufficient knowledge (57.4% of max score) but positive attitudes (82.92%) and practices (90.04%) regarding PSD.
- Knowledge was positively associated with attitude and practice (p < 0.001).
- Factors like gender, education, income, stroke duration, and depression screening influenced knowledge.
Conclusions:
- Chinese caregivers have knowledge gaps in recognizing PSD symptoms and management strategies.
- Positive attitudes and practices exist, but knowledge deficits may hinder effective PSD care.
- Targeted educational interventions are recommended to improve caregiver recognition and management of PSD, ultimately enhancing patient outcomes.
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