Diagnosis and treatment of post-stroke depression in China: a cross-sectional survey of 350 senior clinicians in neurology, geriatrics, and rehabilitation departments

Wang, Chunxue; Luo, Benyan; Wu, Jian; Pan, Wei; Zheng, Lei; Luo, Si

doi:10.1017/s1041610218001254

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Post-stroke depression (PSD) is a serious and common complication after stroke, which mostly presents with a depressed mood, anhedonia, and lack of sleep and exerts negative effects on patients with stroke ( Hirt et al, 2020 ; Wang et al, 2020 ). Approximately, one-third of stroke survivors suffer from PSD at different stages after stroke, which include the early stage, the rehabilitation stage, and the sequelae stage ( Towfighi et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Development and initial validation of a clinical measure to assess symptoms of post-stroke depression in stroke patients at the rehabilitation stage

et al. 2022

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BackgroundThe high incidence of post-stroke depression (PSD) during rehabilitation exerts a negative effect on the treatment and functional recovery of patients with stroke and increases the risk of mortality. It is necessary to screen PSD in the rehabilitation stage and thus provide effective intervention strategies. However, existing measurements used to assess PSD in the rehabilitation stage in patients with stroke lack specificity. This study aimed to develop a clinical measure to assess symptoms of PSD in the rehabilitation stage.MethodsThe research team created the initial items through a literature review and semi-structured interviews of patients with stroke. Then, the symptom-related items were estimated by three panels: healthcare professionals (N = 41), Delphi experts (N = 15), and patients with stroke in the rehabilitation stage (N = 30).ResultsThe literature review and semi-structured interview produced 51 symptom-related items including six domains, and the items were reduced to 47 by the healthcare professionals. The symptom-related items were further reduced to 33 items by a two-round Delphi consultation. The initiative coefficients of the two Delphi rounds were 71.4 and 100%, the expert authority coefficients were both 0.85, Kendall’s W were 0.152 and 0.408 (p < 0.01), and the coefficient of variation (CV) were 0.05–0.32 and 0.00–0.18, respectively. The item-level content validity index (I-CVI) was 0.53–1.00, the scale-level CVI/universal agreement (S-CVI/UA) was 0.26, and the S-CVI/average (S -CVI/Ave) was 0.85 for the first found Delphi consultation; the I-CVI was 0.67–1.00, the S-CVI/UA was 0.61, and the S-CVI/Ave was 0.97 for the second round Delphi consultation. All content validity indicators have been significantly improved compared with the first round. Using mean ≥ 4 and full score ≥ 0.5, combined with CV ≤ 0.16 as the item criteria, a clinical measure of PSD with 33 items and 6 dimensions (cognition, sleep, behavior, emotion, body, and guilt) was finally formed after two rounds. The patients with stroke made no further revisions after evaluation.ConclusionThe research team developed a specific tool with good content validity to assess the symptoms of PSD in the rehabilitation stage.

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Section: Introductionmentioning

confidence: 99%

Development and initial validation of a clinical measure to assess symptoms of post-stroke depression in stroke patients at the rehabilitation stage

et al. 2022

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Effects and Satisfaction of Comfort Nursing plus Psychological Nursing in the Clinical Nursing of Neurology Patients: A Comparative Study

Zhang

Jiang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the effects and satisfaction of comfort nursing plus psychological nursing in the clinical nursing of neurology patients. Methods. In this prospective study, 90 neurology patients admitted to our hospital from January 2019 to January 2020 were recruited and randomized into a control group and an experimental group with 45 cases in each group. The control group received routine care, and the experimental group received comfort care plus psychological care. The comfort scores and nursing satisfaction of the two groups were compared. The Hospital Anxiety and Depression Scale (HAD) was used to assess the emotional state of patients before and after the intervention. The Exercise of Self-care Agency Scale (ESCA) was used to assess the patient’s self-care ability after the intervention. Results. The comfort scores of the experimental group were higher than those of the control group ( P < 0.05 ). The experimental group showed significantly higher satisfaction than the control group ( P < 0.05 ). Patients in the experimental group had lower HAD scores after intervention than those in the control group ( P < 0.05 ). After the intervention, the experimental group had higher ESCA scores and a higher Barthel index than the control group ( P < 0.05 ). Conclusion. Comfort nursing plus psychological care improves nursing satisfaction and self-care ability of neurology patients and relieves their negative emotions.

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Development and validation of a dynamic nomogram for high care dependency during the hospital-family transition periods in older stroke patients

Li,

Zhang,

Zhang

et al. 2024

BMC Geriatr

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Diagnosis and treatment of post-stroke depression in China: a cross-sectional survey of 350 senior clinicians in neurology, geriatrics, and rehabilitation departments

Cited by 3 publications

References 4 publications

Development and initial validation of a clinical measure to assess symptoms of post-stroke depression in stroke patients at the rehabilitation stage

Development and initial validation of a clinical measure to assess symptoms of post-stroke depression in stroke patients at the rehabilitation stage

Effects and Satisfaction of Comfort Nursing plus Psychological Nursing in the Clinical Nursing of Neurology Patients: A Comparative Study

Development and validation of a dynamic nomogram for high care dependency during the hospital-family transition periods in older stroke patients

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