- 期刊
Depression in Older Residents with Stroke Living in Long-Term Care Facilities
長期照護機構中風老人憂鬱之探討
摘要
背景 在台灣腦中風為死亡原因之第三位，中風後老人由於失能或照顧之需要而入住長期機構。中風與機構安置此兩種生活事件之衝擊，可能使中風存活者傾向憂鬱。然而目前缺乏長期照護機構中風老人憂鬱之研究。目的 探討長期照護機構中風老年住民憂鬱的相關因素。方法 採橫斷式研究，於南台灣共23家長期照護機構參與本研究，包含7間護理之家、11間養護中心及5間安養機構。以立意取樣，選取65歲以上有中風病史之住民，排除認知及溝通障礙者。資料收集包含社會人口學資料、巴氏量表及台灣老人憂鬱量表。結果 共111位中風老年住民參與本研究，結果36.9%（n = 41）之中風老年住民有憂鬱情形。憂鬱比率分別是護理之家45.7%、養護中心36.2%、安養中心22.2%。護理之家及養護機構、不識字及低巴氏分數的老年中風住民顯示較多的憂鬱症狀。結論／實務應用 健康照護者需針對中風老人入住機構時進行憂鬱篩選，並定期評估及監測老人的憂鬱狀況，特別是低教育、身體功能差、及居住於護理之家及養護中心的老年住民，需特別關注憂鬱的適當照護。
並列摘要
Background: Stroke is the third leading cause of death in Taiwan. Poststroke older adults are often admitted to long-term care facilities. The impacts of the two concurrent life events of stroke and relocation may increase the risk of depression in stroke survivors. Depression in elderly stroke survivor residents of long-term care facilities has not been studied. Purpose: This study explores the factors associated with depression in older residents with stroke living in long-term care facilities. Methods: A cross-sectional design was used. Twenty-three institutions in southern Taiwan participated in this study, including seven nursing homes, 11 intermediate-care facilities, and five domiciliary-care facilities. Purposive sampling enrolled 111 participants who met the following inclusion criteria: 65 years or older, experienced a stroke that did not cause cognitive defects, and capable of verbal communication. Data were collected using a sociodemographic data questionnaire, Barthel's Index, and the Taiwan Geriatric Depression Scale. Results: Depression was experienced by 41 of the 111 participants (36.9%). Prevalence of depression was 45.7% in nursing homes, 36.2% in intermediate-care facilities, and 22.2% in domiciliary-care facilities. Participants living in nursing homes and intermediate-care facilities and illiterate participants with low Barthel's Index scores showed more depressive symptoms. Conclusions/Implications for Practice: Healthcare providers should conduct depression screening for elderly residents with stroke on admission to long-term care facilities. Regular assessment and monitoring of depressive symptoms, especially in residents with less formal education and limited physical functions, are important in nursing homes and intermediate-care facilities.