Risk factors for post-stroke depression in rehabilitation stage

Abstract:

Objective：To investigate the incidence rate of post-stroke depression（PSD） in rehabilitation stage and related risk factors，as well as the symptoms of PSD which should be taken seriously in this stage. Methods：A cross-sectional survey was performed among 126 patients with stroke who were treated in Department of Rehabilitation Medicine in two grade A tertiary hospitals from March 2017 to January 2018. The Self-rating depression scale was used to evaluate the symptoms of depression，and related influencing factors were analyzed. Results：The univariate and multivariate analyses showed that National Institute of Health stroke scale（NIHSS） score[odds ratio（OR）=1.530，95% confidence interval（CI）＝1.229-1.904，P=0.000]，Pittsburgh sleep quality index（PSQI） score（OR=1.249，95%CI=1.073 to 1.454，P=0.004），Visual Analogue Scale（VAS） score（OR=1.839，95%CI=1.111 to 3.045，P=0.018），income（OR=6.364，95%CI=1.670 to 24.249，P=0.007），and caregiver（OR=5.269，95%CI=1.384 to 20.058，P=0.015） were independent risk factors for depression in patients with stroke in rehabilitation stage. Conclusion：The patients with stroke who have higher NIHSS，PSQI，and VAS scores and a lower level of income and are taken care of by professional caregivers in rehabilitation phase are more likely to de－velop PSD.