Risk factors for post-stroke depression in Sohag University Hospital

Kataria

et al. 2020

J Family Med Prim Care

Introduction: Stroke is a leading cause of long-term disability and loss of productive life in developing countries, including India. Ischemic stroke accounts for 85% of all types of stroke with a prevalence of 5%–15% among acute stroke incidents. The prevalence of poststroke depression among acute stroke survivors is varied from 5 to 54%. The study focused on depression among stroke survivors who actively involved in a home-based rehabilitation. Materials and Methods: A descriptive cross-sectional survey was conducted by enrolling 138 stroke survivors consecutively at tertiary care public hospital, North India. A sociodemographic and clinical profile sheet was used to seek information on personal and clinical variables. Information on disability, depression, performance in the activity of daily living, and degree of stroke severity was ascertained by using the Modified Rankin Scale (MRS), Physical Health Questionnaire (PHQ-9), Barthel Index, and National Institutes of Health Stroke (NIHSS). After binary logistic regression model, a multivariate logistic regression was applied to detect the independent predictor of depression. Results: Over 86% (119) of the stroke survivors had no symptoms of depression, and only 14% (19) were reported to have symptoms of depression. Poststroke depression found significant association with disability ( P = 0.029) and functional independence ( P = 0.0001). A significant difference was observed in the gender ( P = 0.018), types of stroke ( P = 0.0001), and location of lesion ( P = 0.0001) with depression. Binary logistic regression model shows that disability (MRS) status of stroke survivor ( P < 0.0001; 95% CI 1.998–2.638) and functional independence (BI) ( P < 0.0001; 95% CI –0.034–0.020) are same as independent predictors for depression. Conclusion: Clinician should use the community reintegration, referral, and mandatory screening of the stroke survivors at follow-up visit to rule out the probability of occurrence of poststroke depression.

Section: Discussionsupporting

confidence: 92%

Poststroke depression among stroke survivors in Sub-Himalayan region

Kataria

et al. 2020

J Family Med Prim Care

“…It was also stated by Mohammed et al, (2019) that hypertension, smoking habits, increased physical disability, and impaired cognitive function can cause (psychological) depression in stroke patients. Therefore it is necessary to manage various psychological problems (understanding of patients' adjustment and emotional problems can help them maximize rehabilitation, recovery, and community integration) which often cannot be simply treated through psychotropic drugs.…”

Section: Discussionmentioning

confidence: 99%

Implementation of Islamic Spiritual Guidance in Reducing the Anxiety Level of CVA (Cerebro Vascular Accident) Patients at Muhammadiyah General Hospital in Bandung Tulungagung

Widyowati

Violitha

Nurhidayah³

2022

J. Nurs. Pract

Background: The incidence of stroke is still high and contributes to high mortality and disability rates. Stroke attacks cause malfunctions such as paralysis and difficulty communicating so that patients will experience anxiety, fear, sadness and even despair in the face of the disease they are suffering from. Purpose: The purpose of this study was to analyze the effect of providing Islamic spiritual guidance on the anxiety level of CVA (Cerebro Vascular Accident) patients. Methods: This research was conducted in the Inpatient Room at RSU Muhammadiyah Bandung Tulungagung using a quasi experimental design with a one group pre post test design approach, 122 respondents were taken using purposive sampling technique. The independent variable is the provision of Islamic spiritual guidance and the dependent variable is the level of anxiety using a questionnaire and Wilcoxon test analysis. Results: The results of the Wilcoxon test analysis value negative ranks N: 91, Mean: 49.23, Sum of ranks: 4480.00, so it can be concluded that there is a decrease in the value of the anxiety level before to after Islamic spiritual guidance. Based on statistical tests obtained p value: 0.001 <0.05, meaning that there is effectiveness after Islamic spiritual guidance in reducing the anxiety level of stroke patients. Islamic spiritual guidance is effective in reducing anxiety in stroke patients, so hospitals need to make a formulation to form a spiritual guidance team that can provide spiritual services to all patients in the hospital. Conclusion: Islamic spiritual guidance can reduce anxiety in stroke patients so hospitals need to make formulations to create teams or increase the ability of health workers about spiritual guidance given to all patients in the hospital.

“…http://ejournal.urindo.ac.id/index.php/kesehatan Adanya penyakit penyerta seperti diabetes mellitus menjadi faktor risiko terjadinya depresi pada mereka yang terkena stroke ditemukan secara signifikan dalam penelitian yang dilakukan oleh Kowalska, Katarzyna, et al (2020) (7). Mohammed, Gharib Fawi, et al (2019) dalam penelitiannya menemukan bahwa penyakit penyerta seperti hipertensi dan diabetes mellitus menjadi faktor risiko terjadinya depresi pada mereka yang terkena stroke (11).…”

Section: Pendahuluanunclassified

Hubungan Tingkat Disabilitas terhadap Depresi pada Pasien Stroke Lansia (≥60 Tahun) di Indonesia (Analisis Data Riskesdas 2018)

Ikrima¹,

Ronoatmodjo²

2022

JBIK

Stroke adalah penyebab kematian kedua dan penyebab dari disabilitas di dunia. Disabilitas yang dialami oleh penderita stroke dapat membebani pasien pasca stroke, sehingga bergantung kepada orang lain yang dapat mengakibatkan depresi. Tujuan Penelitian ini adalah untuk mengetahui hubungan tingkat disabilitas terhadap kejadian depresi pasien stroke lansia (≥60 tahun) di Indonesia sebelum dan sesudah dikontrol oleh variabel covariat. Metode analitik ini menggunakan pendekatan kasus kontrol. Sampel kasus adalah penduduk lansia ≥60 tahun yang mempunyai riwayat stroke dan depresi sebanyak 259 orang sedangkan sampel kontrol adalah mereka yang tidak mengalami depresi sebanyak 259 orang yang terpilih melalui simple random sampling. Data dianalisis secara univariat, bivariat, dan multivariat dengan regresi logistic. Hasil penelitian terdapat hubungan yang bermakna antara tingkat disabilitas dengan kejadian depresi pada pasien stroke secara statistik (p = 0,000<0,05) dengan tingkat tergantung ringan (OR = 2,442, 95% CI (1,592 -3,745)), tergantung sedang (OR = 3,768, 95% CI (1,873 -7,579)), tergantung berat (OR = 6,553, 95% CI (3,037 -14,141)), dan tergantung total (OR = 12,418, 95% CI (5,235)) setelah dikontrol variabel usia dan tingkat pendidikan. Kesimpulan penelitian terdapat hubungan antara tingkat disabilitas pada pasien stroke terhadap kejadian depresi pada lansia (≥60 tahun) di Indonesia setelah dikontrol variabel usia dan tingkat pendidikan.