Gillen R, Tennen H, McKee T E, Gernert-Dott P, Affleck G
Department of Psychology, Sunnyview Hospital and Rehabilitation Center, Schenectady, NY 12308, USA.
Arch Phys Med Rehabil. 2001 Dec;82(12):1645-9. doi: 10.1053/apmr.2001.26249.
To examine how depressive symptoms, a history of depression, and cognitive functioning contribute to the prediction of rehabilitation efficiency in stroke patients.
Consecutive admissions to an acute inpatient rehabilitation program were screened for cognitive functioning and level of depressive symptoms. History of depression was determined by family member interview. Functional status was evaluated at time of admission and discharge. Depressive symptoms, depression history, and cognitive functioning were examined as predictors of length of stay (LOS) and efficiency of utilization of rehabilitation services.
Acute inpatient rehabilitation hospital.
A total of 348 consecutive stroke admissions to an inpatient program were evaluated for depression and cognitive functioning, of whom 243 patients completed all aspects of the screening.
Not applicable.
Rehabilitation progress, measured with the LOS efficiency measure (LOS-EFF) of the FIM instrument, and length of rehabilitation hospital stay.
Patients with higher levels of depressive symptoms used rehabilitation services less efficiently than those with lower symptom levels but did not have longer LOSs. History of depression was associated with longer LOS and less efficient use of rehabilitation services. Cognitive impairment did not predict rehabilitation efficiency.
The present study lends further support to the benefits of screening stroke patients at the time of rehabilitation admission for depression and history of depression. Identifying patients who have high levels of depressive symptoms and/or a previous depressive episode will allow more comprehensive assessment and rapid intervention.
研究抑郁症状、抑郁病史和认知功能如何有助于预测中风患者的康复效率。
对急性住院康复项目的连续入院患者进行认知功能和抑郁症状水平筛查。通过家庭成员访谈确定抑郁病史。在入院和出院时评估功能状态。将抑郁症状、抑郁病史和认知功能作为住院时间（LOS）和康复服务利用效率的预测因素进行研究。
急性住院康复医院。
共有348例连续入住住院项目的中风患者接受了抑郁和认知功能评估，其中243例患者完成了筛查的所有方面。
不适用。
用FIM工具的住院时间效率指标（LOS-EFF）衡量的康复进展以及康复医院住院时间。
抑郁症状水平较高的患者比症状水平较低的患者康复服务利用效率更低，但住院时间并不更长。抑郁病史与更长的住院时间和更低的康复服务利用效率相关。认知障碍不能预测康复效率。
本研究进一步支持在中风患者康复入院时筛查抑郁和抑郁病史的益处。识别出抑郁症状水平高和/或有过抑郁发作的患者将有助于进行更全面的评估和快速干预。
