scholarly journals Post-stroke depression: frequency, risk factors, and impact on quality of life among 103 stroke patients—hospital-based study

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Eman M. Khedr ◽  
Ahmed A. Abdelrahman ◽  
Tarek Desoky ◽  
Ahmed Fathi Zaki ◽  
Ayman Gamea
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Stroke Patients ◽  
Post Stroke ◽  
Post Stroke Depression

scholarly journals Factors Affecting Quality of Life among Post-Stroke Patients in the Sub-Himalayan Region

2020 ◽  
Vol 11 (04) ◽  
pp. 616-622
Author(s):  
Tarannum Ahmed ◽  
Rajesh Kumar ◽  
Yogesh Bahurupi ◽  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Functional Dependence ◽  
Himalayan Region ◽  
World Health ◽  
Rank Test ◽  
Poststroke Depression ◽  
Stroke Patients ◽  
Post Stroke

Abstract Background Stroke is one of the most debilitating conditions contributing to significant disability and death globally. Identifying risk factors for quality of life (QoL) will enable to improve home-based rehabilitation in post-stroke phase. Objective This study was aimed to identify the risk factors of QoL in stroke patients in the sub-Himalayan region. Materials and Methods A cross-sectional hospital-based study assessed the QoL among stroke patients within a week after the onset of acute stroke and then re-evaluated at 3 months. World Health Organization QoL-BREF, Beck Depression Inventory, the Barthel Index, and Montreal Cognitive Assessment (MOCA) were used to seek data on QoL, depression, cognitive, and functional dependence status, respectively. Appropriate statistics were used to compute the results. Results In total, 129 stroke patients recruited, out of which 102 returned to a 3-month follow-up. QoL, MOCA, disability index, and depression score were compared using Wilcoxon Singed-rank test. In multivariate analysis, depression and disability together predicted 60% of the variance for physical QoL (p < 0.0001). Similarly, poststroke depression and disability together predicted 61% of the variance for psychological QoL (p < 0.0001) in stroke patients. Conclusion Findings indicated that depression and disability are leading risk factors of QoL in stroke patients. Early identification of poststroke depression and functional dependence status is, therefore, essential to devise screening procedure and to develop targeted intervention to improve rehabilitation outcomes.

scholarly journals Post Stroke Depression: Determination of Risk and Frequency of the Depression in Stroke Patients

2021 ◽  
pp. 1-6
Author(s):  
Jeando Khan Daidano ◽  
Amir Shahzad ◽  
Awais Basheer Larik ◽  
Haresh Kumar ◽  
Safdar Ali Parvez Tunio ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Antidepressant Drugs ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Post Stroke Depression ◽  
Depression Level

Objective: In this study we will determine risk and frequency of the depression in stroke patients associated with quality of life. Methodology: Study duration was from January 2020 to December 2020. An observational Cross Sectional Study was conducted on 105 patients. Study conducted in Medical units PUMHS Hospital Nawabshah. After the consent of patient, Detailed history, complete CNS examination CT Scan Brain was done. Data were analyzed by using SPSS 15 version Depression was assessed by instrument beck depression inventory. Results: Age ranged from 48-68 years, 58 males, 48 females, Education of the patient 66 were uneducated, 17 primary pass and 22 middle pass. occupation of the patient 41 were unemployed, 40 were housewife and 24 were self employed. Depression level was 20 patients with borderline depression, 59 with moderate depression and 26 with severe depression. Conclusion: Post stroke depression is major problem after survival. Proper Treatment of stroke and depression can be prevented from complications and quality of life can be improved. Antidepressant drugs after acute stroke cognitive function can be improved with decreased mortality. 

scholarly journals Epidemiological analysis, risk factors and therapeutic plan for post-stroke depression

2021 ◽  
Author(s):  
Giovanna de Camargo Innocencio ◽  
Paulo Roberto Hernandes Júnior ◽  
Patrick de Abreu Cunha Lopes ◽  
Juliana de Souza Rosa ◽  
Jhoney Francieis Feitosa
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Support Network ◽  
Major Depressive ◽  
Post Stroke ◽  
Pubmed Database ◽  
Post Stroke Depression

Background: the stroke is defined by the OMS as the rapid development of neurological symptoms and/or focal signs that last for more than 24 hours, resulting from the sudden change in blood flow to the region. Major depressive disorder is one of the main complications that exist after a stroke. Objectives to correlate the occurrence of depression and stroke, to analyze the risk factors and the best therapeutic approach for the condition. Methods: a literature review was carried out from the Scielo and PubMed database, using as descriptors “Stroke”, “Depression” and “Post-stroke depression”, where 13 articles between 2003 and 2018 were selected. Results: the major depressive disorder is the most common psychiatric complication after strokes. A meta-analysis identified a cumulative incidence of depression from 29% to 52% in the first five years after stroke, although several studies have shown that post-stroke depression is diagnosed in only 10% of cases. When not diagnosed or treated, it is associated with a reduction in the patient’s active participation in the rehabilitation process, a decrease in quality of life and an increase in mortality. Risk factors include previous functional and cognitive impairment, history of depressive disorder, sex, age, previous stroke, hypercortisolemia, poor social support network, neuroanatomical characteristics of the stroke and high serum levels of IL-6. The pharmacological management can be carried out prophylactically or therapeutically, with selective serotonin reuptake inhibitors being the most indicated and tricyclic antidepressants as an alternative. Conclusion: the frequency of depressive disorder after stroke is relatively high and characterized as a predictor of poor prognosis. The importance of attention to the multifactorial context in which depression arises and the early treatment of psychiatric comorbidities in post-stroke individuals should be reinforced, since this strategy may reflect on better quality of life and reduction in morbidity and mortality rates that occur after the condition.

scholarly journals POST-STROKE DEPRESSION (MODERN LOOK AT THE PROBLEM AND OWN RESEARCH)

2020 ◽  
Vol 6 (1-2) ◽  
pp. 10-19
Author(s):  
O.P. Onopriyenko
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Functional Dependence ◽  
Recovery Period ◽  
Stroke Patients ◽  
Early Recovery ◽  
Post Stroke ◽  
Post Stroke Depression ◽  
The Impact

The high incidence and increase in disability among the population after a stroke is a topical problem worldwide in the second decade of the 21st century. Brain strokes, their complications (dementias, depression), place a heavy burden on the society of the country, the families of patients. Objective: To investigate the impact of psychogenic factors on the epidemiology of stroke in Brоvаry district of Kyiv region for the last 10 years, to compile statistics and to compare them with world and regional data of Kyiv region and Ukraine. Methods. The resources of PubMed (1990-2016) and UpToDate (2016) were used to write the review article. To address these issues and to improve the quality of care provided to patients in the Kyiv region, Brovary and Brovary district, an epidemiological study of stroke patients and its risk factors has been continued. We screened 771 patients with stroke in the angioneurology department of the Brоvаry Multidisciplinary Clinical Hospital of the Kyiv region for psycho-emotional depressive disorders in the acute and late recovery period of ischemic stroke using NIHSS scales, Bartel index, modified Rankin scale, RASS scale. Statistical analysis of the obtained data was performed using the Spearman correlation coefficient, multiple regression analysis, descriptive statistics methods. Results. The risk factors for depression in the early recovery period after ischemic stroke and the association of post-stroke depression (PSD) with the risk of recurrence have been identified. 771 stroke patients (13%) had anxiety-depressive syndrome: 436 (56%) man, 335 (44%) women. PSD has been found to be more pronounced in old people, female, single patients. The development of PSD is influenced by many factors, including severity of stroke, disease course, significant functional impairment and degree of disability, reduced cognitive, language functions, and dependence on outsiders. The more pronounced severity of PSD is related to the degree of functional dependence and language-cognitive status. Conclusions. The presence of PSD results in worst prognosis of stroke of functional and cognetiv renewal of patients, increases their dependence on an extraneous help, considerably worsens quality of life. The origin of PSD has multifactorial genesis, mostly psychogenicsocial factor, influences on the degree of functional dependence of patients, especially aphasia. Influence on risk factors will give an opportunity to prevent development of PSD will promote it to effective rehabilitation and prevantion of repeated ischemic stroke. Keywords: ischemic stroke, psychogenic factors, post-stroke depression, principles of rehabilitation, treatment, prevention.

KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

scholarly journals Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist – The Managing Aftercare for Stroke (MAS-I) study

2018 ◽  
Vol 3 (3) ◽  
pp. 237-245 ◽  
Author(s):  
Benjamin Hotter ◽  
Inken Padberg ◽  
Andrea Liebenau ◽  
Petra Knispel ◽  
Sabine Heel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Caregiver Burden ◽  
Unmet Needs ◽  
Community Dwelling ◽  
Social Needs ◽  
Interquartile Range ◽  
Stroke Patients ◽  
Post Stroke

Introduction Detailed data on the long-term consequences and treatment of stroke are scarce. We aimed to assess the needs and disease burden of community-dwelling stroke patients and their carers and to compare their treatment to evidence-based guidelines by a stroke neurologist. Methods We invited long-term stroke patients from two previous acute clinical studies ( n = 516) in Berlin, Germany to participate in an observational, cross-sectional study. Participants underwent a comprehensive interview and examination using the Post-Stroke Checklist and validated standard measures of: self-reported needs, quality of life, overall outcome, spasticity, pain, aphasia, cognition, depression, secondary prevention, social needs and caregiver burden. Results Fifty-seven participants (median initial National Institutes of Health Stroke Scale score 10 interquartile range 4–12.75) consented to assessment (median 41 months (interquartile range 36–50) after stroke. Modified Rankin Scale was 2 (median; interquartile range 1–3), EuroQoL index value was 0.81 (median; interquartile range 0.70–1.00). The frequencies for disabilities in the major domains were: spasticity 35%; cognition 61%; depression 20%; medication non-compliance 14%. Spasticity ( p = 0.008) and social needs ( p < 0.001) had the strongest impact on quality of life. The corresponding items in the Post-Stroke Checklist were predictive for low mood ( p < 0.001), impaired cognition ( p = 0.015), social needs ( p = 0.005) and caregiver burden ( p = 0.031). In the comprehensive interview, we identified the following needs: medical review (30%), optimization of pharmacotherapy (18%), outpatient therapy (47%) and social work input (33%). Conclusion These results suggest significant unmet needs and gaps in health and social care in long-term stroke patients. Further research to develop a comprehensive model for managing stroke aftercare is warranted. Clinical Trial Registration: clinicaltrials.gov NCT02320994.

FP37-WE-05 Impact of insomnia on the quality of life of post-stroke patients

2009 ◽  
Vol 285 ◽  
pp. S117
Author(s):  
M. Sieminski ◽  
K. Chwojnicki ◽  
A. Ossowska ◽  
L. Wierucki ◽  
T. Zdrojewski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Stroke Patients ◽  
Post Stroke

scholarly journals Studi Epidemiologi Kualitas Hidup Penderita Paska Stroke di RSUD Propinsi Nusa Tenggara Barat

2019 ◽  
Vol 5 (1) ◽  
pp. 53
Author(s):  
Ilsa Hunaifi ◽  
Pujiarohman Pujiarohman
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Normal Population ◽  
Social Health ◽  
Average Score ◽  
Life Questionnaire ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke

troke is a leading cause of mortality and morbidity in Indonesia.  Post stroke patients has a higher disability hence results in poor quality of life compared with normal population. In Indonesia, studies related to the quality of life of post-stroke patients are scarce, so studies are required to explore the quality of life of post-stroke patients, particularly in West Nusa Tenggara. Aim of this study is to determine the epidemiology of quality of life for post-stroke patients in West Nusa Tenggara. Methods of this study is An Observational with cross-sectional design was performed in population of post-stroke patients admitted to West Nusa Tenggara General Hospital. The quality of life of post stroke patient was evaluated with SSQOL (Stroke Specific Quality of Life) questionnaire. The collected data was analyzed by the appropriate test. Result of this study is the average age of subject is 60.33±10.68 years. Hypertension is a major risk factor of stroke. The average SSQOL score is 177.02±45.75. SSQOL assesses 4 dimension are physical, functional, psychological and social health. Based on the physical dimension, the average score is 17.00, the functional dimension, the average score is 14.91, the psychological dimension, the average score is 13.17 and the social health dimension  the average score is 13.44.  The quality of life for post-stroke patients in West Nusa Tenggara General Hospital is good.

Sign in / Sign up

Export Citation Format

Share Document