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Rehabilitation Practice and Science

Translated Title

中風患者鼻胃管的使用對憂鬱傾向及功能預後的影響

Abstract

Depression is reported in a portion of stroke patients during the period of their stay in acute and rehabilitation hospitals. Depression may influence the patient's motivation to participate in the rehabilitation program and result in slower functional recovery and poor functional outcome. In addition, patients with prolonged usage of nasogastric tube for food intake experience a stronger degree of physical impairment, slower functional recovery, and less motivation. The purpose of our study was to determine the correlation between prolonged usage of nasogastric tube and post-stroke patients' depression tendency, and their effects on the patients' functional outcome. Eighty-six patients participated in the study. The study recorded the patient's data, which included days of admission, days of rehabilitation, type of the stroke, usage of nasogastric tube (with or without) and usage of Foley tube (with or without). Evaluated topics included Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Brunnstrom's motor recovery stages (BMRS) and Functional Independence Measure (FIM). FIM efficiency was also calculated.Looking at the results individually, the study indicated that patients with tendency towards depression are less correlated with MMSE score, FIM score, and FIM efficiency. Patients with prolonged usage of the nasogastric tube have a stronger tendency towards depression and are less correlated with BMRS, MMSE scores, and FIM scores. Looking at the combined results, usage of nasogastric tube is the main risk factor of depression. In conclusion, when facing patients with prolonged usage of nasogastric tube, extra attention is needed to evaluate a patient's tendency towards depression and assess the need to apply a more aggressive treatment.

Language

Traditional Chinese

First Page

19

Last Page

26

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