Depression and Related Factors in Elderly Patients with Occlusion Stroke

梗塞性腦中風老年病患之憂鬱及相關因素之探討

李慎初(Shen-Chu Li) ； 王桂芸(Kwua-Yun Wang) ； 林健群(Jiann-Chyun Lin)

《The Journal of Nursing Research》 11卷1期 (2003/03) Pp. 9-18

摘要

The purpose of this study was to examine depression and the related factors in elderly stroke patients. Purposive sampling was used to recruit 106 par tic i pants from the out patients department (OPD) of a teaching hospital in Taipei. The major findings of this study were: (1) Twenty-nine stroke survivors (27.4%) and eight stroke survivors (7.5%) were classifled as having mild depression and mod e r ate to severe depression, respectively. (2) There was no significant difference or correlation between the depression score and demo graphic character is tics, chronicillness condition, or disease character is tics. The depression scores in “worrying about nothing” were significantly lower than the depression scores in “worrying about disease” (t(subscript _)=-4.03, p(subscript _)=.03). (3) There was no significant correlation between the depression score and the Mini-Mental State Examination score, or the Barthel Index score. (4) Social sup port and depression were negatively correlated (?(subscript _)=-.306, p(subscript _)=.001). (5) Multiple regression anal y sis revealed that “worrying about disease,”“ worrying about family,” and informational sup port from family, relatives and friends accounted for 22.1% of the variance in depression. The implications for clinical practice and further studies are suggested.

關鍵字

老人 ； 腦中風 ； 憂鬱及社會支持

並列摘要

The purpose of this study was to examine depression and the related factors in elderly stroke patients. Purposive sampling was used to recruit 106 par tic i pants from the out patients department (OPD) of a teaching hospital in Taipei. The major findings of this study were: (1) Twenty-nine stroke survivors (27.4%) and eight stroke survivors (7.5%) were classifled as having mild depression and mod e r ate to severe depression, respectively. (2) There was no significant difference or correlation between the depression score and demo graphic character is tics, chronicillness condition, or disease character is tics. The depression scores in “worrying about nothing” were significantly lower than the depression scores in “worrying about disease” (t(subscript _)=-4.03, p(subscript _)=.03). (3) There was no significant correlation between the depression score and the Mini-Mental State Examination score, or the Barthel Index score. (4) Social sup port and depression were negatively correlated (?(subscript _)=-.306, p(subscript _)=.001). (5) Multiple regression anal y sis revealed that “worrying about disease,”“ worrying about family,” and informational sup port from family, relatives and friends accounted for 22.1% of the variance in depression. The implications for clinical practice and further studies are suggested.

並列關鍵字

elderly ； stroke ； depression ； social support

參考文獻

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