脑卒中后抑郁症与功能结果之间的关联:系统性审查
Nipaporn Butsing1, Jaclene A Zauszniewski2, Suebsarn Ruksakulpiwat3
1Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
PloS one
|August 22, 2024
概括
脑卒中后抑郁症 (PSD) 是常见的,并且与中风后功能恢复不良有关. 早期评估和PSD的管理对于改善患者的治疗结果至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中后抑郁症 (PSD) 是一种影响中风患者康复的重大并发症.
- 目前关于PSD与功能结果之间的联系的研究仍然不一致.
研究的目的:
- 系统地审查PSD的流行情况.
- 调查中风幸存者的PSD和功能结果之间的关联.
主要方法:
- 非实验性研究的系统审查 (队列,横截面,病例控制).
- 在PubMed,MEDLINE,Web of Science,CINAHL Plus中搜索到2024年1月.
- 使用PRISMA指南选文献,并使用Joanna Briggs研究所的标准进行评估.
主要成果:
- 后视障碍的患病率有所不同:12.2%-32.2% (2周),17.9%-35.5% (1个月),10.4%-32.0% (3个月).
- 在中风1个月至5年后,发现PSD和功能性结果 (依赖,ADL,IADL,身体/认知功能) 之间存在显著的负面关联.
- 抑郁症治疗对功能结果产生了积极的影响.
结论:
- 在中风后的最初三个月观察到高PSD患病率.
- PSD与功能性结果的下降密切相关.
- 定期PSD评估和管理对于最佳中风恢复至关重要.
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