Depression in Older Residents With Stroke Living in Long-Term Care Facilities

Huang, Hsuan-Rong; Chuang, Yeu-Hui; Hsueh, Yi Hua; Lin, Pao Chen; Lee, Bih‐O; Chen, Ching Huey

doi:10.1097/jnr.0000000000000028

Cited by 14 publications

(20 citation statements)

References 24 publications

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“…One Taiwanese study indicated that the prevalence of depressive symptoms (36.9%) in older residents who had experienced a stroke was similar to the findings of this study (Huang et al, ). However, three studies conducted in Taiwan revealed higher prevalence of depressive symptoms among residents—81.8% (Lin et al, ), 52.05% (Lin et al, ), and 49% (Tsai, )—than the prevalence found in the current study.…”

Section: Discussionsupporting

confidence: 89%

“…Nevertheless, the prevalence of depression or depressive symptoms is higher in older adults living in LTCFs than in those living in the community, with approximately 19.0% in Canada (McCusker et al, ), 21.1% in Singapore (Tiong, Yap, Huat Koh, Phoon Fong, & Luo, ), 21.6% in the United States (Hoover et al, ), 27.1% in England and Wales (McDougall et al, ), 74% in Poland (Kowalska, Bojko, Szczepanska‐Gieracha, Rymaszewska, & Rozek‐Piechura, ), and 90.2% in Iran (Nazemi et al, ). In Taiwan, the prevalence of depression or depressive symptoms in LTCFs is also remarkable with reports of 36.9% and 81.8% of older residents having experienced depressive symptoms in LTCFs (Huang et al, ; Lin, Wang, & Huang, ). However, the prevalence of depressive symptoms or depression in older LTCF residents with intact cognitive function is still poorly understood, except for one study conducted in Norway (Drageset, Eide et al, ).…”

Section: Introductionmentioning

confidence: 95%

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Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Chuang

Ting

et al. 2018

Research in Nursing & Health

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The investigators aimed to explore the prevalence of depressive symptoms and associated factors among older residents with intact cognitive function in nursing homes in Taiwan. A cross-sectional descriptive and correlational research design was used. A convenience sample of 178 older residents without cognitive impairment was recruited from 36 nursing homes in Southern Taiwan. The questionnaires included demographic data; the Barthel Index, which assesses the ability to perform activities of daily living; and the Geriatric Depression Scale Short Form. Among older residents in nursing homes with intact cognitive function, 39.3% had depressive symptoms. Age, religion, previous living status, previous working status, being totally dependent in physical function, and being severely dependent in physical function were significant predictors of depressive symptoms among cognitively intact older residents. The findings highlight the critical mental healthcare issues among older residents with intact cognitive function in nursing homes. Practical strategies for preventing the occurrence of depressive symptoms and caring for those who have depressive symptoms should be developed, especially for younger or dependent older residents or residents who have never been employed, have no religious beliefs, or have lived alone before they moved into an institution.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 95%

Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Chuang

Ting

et al. 2018

Research in Nursing & Health

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“…The prevalence of depressive symptoms or depression in long‐term care facilities (LTCFs) is high regardless of whether in Taiwan (36.3%–81.8%) (Huang et al . ; Lin et al . ) or other countries (47.4%–90.2%) (Kowalska et al .…”

Section: Introductionmentioning

confidence: 99%

Nurses’ confidence in providing and managing care for older persons with depressive symptoms or depression in long‐term care facilities: A national survey

Chuang

Kuo

2018

Int J Mental Health Nurs

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The prevalence of depressive symptoms among older residents in long-term care facilities (LTCFs) is high. Nurses are the main healthcare providers in LTCFs and also the persons responsible for detecting changes in residents' mental function and providing subsequent care. Therefore, it is necessary to understand nurses' knowledge, attitudes, and confidence regarding care for older residents with depressive symptoms or depression. This study aimed to understand nurses' level of knowledge of late-life depression, attitudes towards depression, and confidence levels in caring for older adults with depressive symptoms or depression in LTCFs. A cross-sectional descriptive and correlational research design was used. A nationwide self-report survey was conducted in 2016. Ultimately, 556 valid questionnaires were returned. The study found that LTCF nurses' knowledge about late-life depression was poor, and they also lacked confidence in managing and caring for older persons with depressive symptoms or depression, but nurses' attitudes towards depression were neutral or slightly positive. Moreover, nurses who had greater confidence in providing care for older persons with depression were those with more positive attitudes towards depression, a greater interest level in taking care of older adults with depression, less late-life depression knowledge, longer nursing experience in LTCFs, and a greater interest level in late-life depression issues, and who had read late-life depression pamphlets or taken courses or classes in late-life depression. The findings suggest an urgent need to develop strategies to improve nurses' late-life depression knowledge and increase their confidence in providing care to older residents with depressive symptoms or depression.

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“…Demographic factors such as age, gender, marital status, religion and faith, educational level, occupation, economic status, living patterns, hospitalization duration, and changed environment are all related to depression in elderly people [1,7,8,11]. Physical factors such as acute myocardial infarction, heart failure, stroke, cerebrovascular accident, hypothyroidism, crippling and/or disabling diseases, dementia and neurodegenerative diseases, bone fractures, osteoporosis, arthritis, and chronic illness; dysfunction in physical attributes, such as blood sugar and cardiovascular system imbalance, hydroelectrolytic disturbances, or lower liver and kidney functions; and lower daily activity score are related to depression in elderly people [1][2][3]6,7,10].…”

Section: Related Factors Of Depression In Elderly Peoplementioning

confidence: 99%

“…Studies have shown that currently, 30% of elderly people aged more than 65 years have emotional disorders, and 64% of hospitalized elderly people have depression symptoms such as low mood, sleep disturbance, poor appetite, or pain combined with anxiety [1][2][3][4][5]. Additionally, 36.9% of 111 elderly patients experienced depression, and the prevalence was 45.7%, 36.2%, and 22.2% in those living in nursing homes, intermediate care facilities, and domiciliary care facilities, respectively [6]. Specifically, 21.7% of 152 veterans developed depression [7].…”

Section: Introductionmentioning

confidence: 99%

Integrated Literature Review of Depression in Elderly People

Ku¹,

Chung²

2017

J Gerontol Geriatr Res

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The authors conducted a literature review of the depression findings of systematic reviews and meta-analyses in elderly people. The defining characteristics of depression in elderly people include 2-5 symptoms, namely sleep disorders, changed weight, psychomotor retardation, fatigue, and feelings of worthlessness or guilt within 2 weeks; the critical symptom is either low mood or loss of interest in usual activities. In addition, elderly people with an abnormal status for the items of the Geriatric Depression Scale (GDS) may have experienced recurrent falls twice during the past 2 years. The related factors of depression in elderly people include demographic, physical, psychological, mental, and social factors. Colasanti et al. in 2010 identified four major self-rating depression scales for elderly people: Beck Depression Inventory (BDI), Self-rating Depression Scale (SDS), Center for Epidemiological Studies Depression (CES-D), and GDS. CES-D is a valid scale that can be used to distinguish major depression from emotional disorders among elderly people, and it can also be used in pharmacological trials. The interventions for depression in elderly people include pharmacological and nonpharmacological methods. Regarding pharmacological treatment, the evidence-based literature has demonstrated that duloxetine taken for 8 weeks can alleviate recurrent major depression in elderly people; at the same time, healthcare professionals should pay attention to some side effects. Moreover, herbal medicine has been found to only alleviate post-stroke depression in elderly people. Nonpharmacological interventions are exercise therapies such as yoga; alternative therapies such as touching, intimate massage, music, art, and nature; and cognitive therapy, reminiscence therapy, and psychotherapy.

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Depression in Older Residents With Stroke Living in Long-Term Care Facilities

Cited by 14 publications

References 24 publications

Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Prevalence of depressive symptoms in older nursing home residents with intact cognitive function in Taiwan

Nurses’ confidence in providing and managing care for older persons with depressive symptoms or depression in long‐term care facilities: A national survey

Integrated Literature Review of Depression in Elderly People

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