Department of Health Sciences, Buskerud University College, Drammen, Norway.
J Adv Nurs. 2012 Aug;68(8):1726-37. doi: 10.1111/j.1365-2648.2011.05855.x. Epub 2011 Nov 1.
The aim of the present study was to describe the lived experience of stroke survivors suffering from depressive symptoms in the acute phase; addressing the following questions: (a) what is the nature of depression as experienced by post-stroke patients in the acute phase? (b) what is it like to live with depression within the first weeks following stroke?
Post-stroke depression occurs in at least one quarter of stroke survivors and is linked to poorer outcomes.
This qualitative study is methodologically grounded in hermeneutic phenomenology, influenced by van Manen and Ricoeur. A descriptive, qualitative design was used applying in-depth interviews as the method of data collection with nine participants. The data collection took place in 2008.
The material revealed two main themes that generate the feeling and description of 'living a life in shades of grey': (a) being trapped and (b) losing oneself. 'Shades of grey' could be understood as being confined in a new life-world and losing oneself as the person one knew.
The participants confirmed suffering from depressive symptoms, but depression was not seen as meaningful on its own. They related their experiences of post-stroke depression in the acute phase to the losses they experienced. Nurses ought to take into account the depth of the life changes that stroke survivors may experience. There is a need for continued empirical research on how nurses may help and support stroke survivors dealing with depressive symptoms in the acute phase after stroke and how depressive symptoms develop over time.
本研究旨在描述处于急性期的脑卒中幸存者的抑郁症状的生活体验，探讨以下问题：(a) 脑卒中患者在急性期经历的抑郁本质是什么？(b) 脑卒中后最初几周内，抑郁的生活体验是怎样的？
至少有四分之一的脑卒中幸存者会发生脑卒中后抑郁，且与预后较差相关。
本定性研究在解释学现象学的基础上进行，受范梅南和里克尔的影响。采用描述性、定性设计，使用深入访谈作为数据收集方法，对 9 名参与者进行了研究。数据收集于 2008 年进行。
研究材料揭示了两个主要主题，即“生活在灰色阴影中”的感觉和描述：(a) 被困和(b) 失去自我。“灰色阴影”可以理解为被限制在一个新的生活世界中，失去了自己所熟知的自我。
参与者确认患有抑郁症状，但并未将其视为有意义的症状。他们将急性期脑卒中后抑郁的体验与他们所经历的丧失联系起来。护士应该考虑到脑卒中幸存者可能经历的生活变化的深度。需要进一步进行关于护士如何帮助和支持脑卒中幸存者应对急性期抑郁症状以及抑郁症状如何随时间发展的实证研究。
