University of Minnesota, School of Nursing, Minneapolis, MN, USA.
Heart Lung. 2009 Mar-Apr;38(2):151-62. doi: 10.1016/j.hrtlng.2008.05.002. Epub 2008 Aug 28.
Depression is a frequent complication of stroke with a prevalence of 25% to 79%, depending on the setting, assessment tool, and time poststroke. Patients with poststroke depression (PSD) show far less recovery from functional impairments compared with nondepressed patients with stroke. Many stroke patients have significant physical disability and an inability to carry out activities of daily living. This, in turn, adversely affects quality of life. Poststroke functional disability has been considered predictive of depression after stroke in some literature. However, studies differ on the relative contribution of functional impairment to PSD. The purpose of this article is to synthesize the literature on the relationship between PSD and functional outcome. This synthesis will help identify gaps in knowledge to further direct future studies and provide knowledge for clinicians to improve care and recovery after stroke.
抑郁症是中风的常见并发症，其患病率为 25%至 79%，具体取决于环境、评估工具和中风后时间。与非抑郁中风患者相比，患有中风后抑郁症（PSD）的患者在功能障碍的恢复方面要差得多。许多中风患者有严重的身体残疾和无法进行日常生活活动的能力。这反过来又会影响生活质量。在某些文献中，中风后功能障碍被认为是中风后抑郁的预测因素。然而，研究结果在功能障碍对 PSD 的相对贡献上存在差异。本文的目的是综合 PSD 和功能结果之间关系的文献。这种综合将有助于确定知识空白，以进一步指导未来的研究，并为临床医生提供改善中风后护理和康复的知识。
