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首页> 外文期刊>South African Journal of Psychiatry >Post-stroke depression: Prevalence, associated factors and impact on quality of life among outpatients in a Nigerian hospital
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Post-stroke depression: Prevalence, associated factors and impact on quality of life among outpatients in a Nigerian hospital

机译：脑卒中后抑郁：尼日利亚一家医院门诊患者的患病率，相关因素及其对生活质量的影响

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Objectives: To investigate the prevalence of post-stroke depression (PSD), its associated factors and impact on quality of life (QoL) among outpatients in a Nigerian hospital. Methods: This cross-sectional study was carried out among 140 adults made up of 70 stroke survivors and matched controls with stable hypertension. Participants were administered questionnaires to profile their socio-demographic and clinical characteristics. Subsequently, they were assessed with the modified mini-mental state examination (MMSE), modified Rankin Scale (mRS), schedule for clinical assessment in neuropsychiatry (SCAN) and World Health Organization Quality of Life-BREF (WHOQoL-BREF). Results: The mean ages (± s.d.) of stroke survivors and controls were 57.43 (± 9.67) years and 57.33 (± 9.33) years, respectively. Majority of stroke survivors ( n = 55 [78.6%]) had infarctive stroke, and 37 (52.9%) had right hemispheric lesion. Sixteen (22.9%) stroke survivors had PSD, with moderate to severe depression (F32.1) being the most prevalent, while none of the controls was clinically depressed. PSD correlated positively with monthly health bill above 10 000 naira ($61), significant post-stroke disability and poorer scores on all QoL domains ( p Conclusion: Depression was 20-fold prevalent in stroke survivors compared to controls with stable hypertension, and sevenfold the life-time prevalence reported among adult general population in Nigeria. Furthermore, increased health care bills per month, significant post-stroke disability and poorer QoL indicated survivors more likely to have depression. Findings in this study support the need to pay closer attention to psychosocial needs of stroke survivors to improve well-being. Future longitudinal study on psychosocial burden of stroke is warranted.
机译：目的：调查尼日利亚一家医院门诊病人的中风后抑郁（PSD）患病率，相关因素以及对生活质量的影响。方法：这项横断面研究是在由70名卒中幸存者和相匹配的稳定高血压患者组成的140名成年人中进行的。参与者接受问卷调查，以了解他们的社会人口统计学和临床​​特征。随后，他们用改良的迷你精神状态检查（MMSE），改良的兰金量表（mRS），神经精神病学临床评估时间表（SCAN）和世界卫生组织生活质量BREF（WHOQoL-BREF）进行了评估。结果：中风幸存者和对照组的平均年龄（±s.d.）分别为57.43（±9.67）岁和57.33（±9.33）岁。多数卒中幸存者（n = 55 [78.6％]）患有梗塞性卒中，其中37例（52.9％）患有右半球病变。 16名（22.9％）中风幸存者患有PSD，其中以中度至重度抑郁症（F32.1）最为普遍，而临床上没有任何对照者处于抑郁状态。 PSD与每月健康费用超过10,000奈拉（$ 61），中风后严重残疾以及所有QoL域得分均呈正相关（p结论：与稳定高血压的对照组相比，中风幸存者的抑郁症患病率是20倍，是正常人的7倍。尼日利亚成年人口终生患病率较高，此外，每月医疗保健费用的增加，中风后残疾的严重程度以及生活质量的较差都表明幸存者更容易患上抑郁症。中风幸存者需要改善其健康状况，因此有必要对中风的心理社会负担进行纵向研究。

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