在第一次中风后,在约旦患者和护理人员的抑郁症
Journal of psychiatric practice
|January 16, 2024
概括
脑卒中后抑郁症影响患者和护理人员,突出显示了重要的相互作用. 早期识别和支持对于在中风幸存者及其家人中管理情绪障碍至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 脑卒中后抑郁症是中风幸存者的已知的并发症.
- 在中风患者护理人员中,抑郁症仍未得到充分研究.
- 患者和护理人员中风后抑郁症之间的相互作用尚未得到充分理解.
研究的目的:
- 为了研究中风后患者-护理人员二合体中抑郁症的患病率和相互作用.
- 在中风患者和他们的护理人员中确定抑郁症的预测因素.
主要方法:
- 一项横截面和后续研究,涉及108名中风后的患者-护理人员二极管.
- 评估人口和临床数据,中风严重程度 (NIHSS),功能结果 (BI) 和残疾 (mRS).
- 在入院和1个月后使用患者健康问卷-9 (PHQ-9) 查抑郁症状,并进行相关性和回归分析.
主要成果:
- 在患者 (13.5%至27.0%) 和护理人员 (9.4%至18.8%) 中,抑郁症的患病率从入院到1个月增加.
- 入院时的护理人员抑郁与入院时的患者抑郁相关 (P=0.031).
- 一个月后护理人员抑郁预测患者抑郁 (P=0.008),预测因素包括护理人员人口统计,患者残疾 (mRS),入院时间和患者中风后抑郁状态.
结论:
- 无论是中风幸存者还是他们的照顾者,都面临着高患抑郁症的风险.
- 患者和护理人员之间存在显著的相互作用中风后抑郁症.
- 这些发现强调了对中风患者护理人员单位提供综合心理健康支持的需要.
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