Related factors of post-stroke depression in patients with cerebral infarction during hospitalization in rehabilita-tion department
Object To explore the risk factors related to the intensity of post-stroke depression in patients with cerebral infarction during hospitalization in the rehabilitation department.Methods The hospital consultation records of cerebral infarction patients in Beijing Bo'ai Hospital from December,2019 to February,2023 were reviewed from the hospital information system,and those who were diagnosed as depres-sion visited the department of psychology were selected.It was collected including general information of sexes,ages,education levels,matrimony;medical features of course,location,affected side,sensory disorders,aphasia,agrypnia,dysphagia,hand-shoulder syndrome,constipation;functioning of muscle strength and Brunnstrom stag-es;and scores of Mini-Mental State Examination(MMSE),National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA),Fugl-Meyer Assessment-Balance(FMA-B),modified Barthel Index(MBI)and Hamilton Depression Scale(HAMD).Patients with HAMD scores≤20 were as the low group,and those>20 were as the high group.Result A total of 2 403 hospitalized stroke patients were included,out of which 269 patients with cerebral infarction were diagnosed as depression and visited the department of psychology;while 103 cases were in the low group and 166 cases were in the high group.The incidence of constipation was less,and the incidence of dysphagia and shoulder-hand syndrome was higher in the high group(χ2>5.379,P<0.05),with weaker strength of iliopsoas muscle and quadriceps muscle,earlier of Brunnstrom stage of lower extremities and hands,and worse scores of NIHSS,MMSE,FMA,FMA-B and MBI(|Z|>2.020,t>2.171,P<0.05).Logistic regression showed that con-stipation(OR = 0.435),quadriceps muscle strength(OR = 0.782)and dysphagia(OR = 2.602)related to the inten-sity of post-stroke depression in convalescent patients(P<0.05).Conclusion Post-stroke dysphagia and poor quadriceps muscle strength may exacerbate post-stroke depression;howev-er,constipation may not.
国家科技期刊平台
NSTL
万方数据
维普
