University of Maryland School of Nursing, Baltimore, MD, USA.
J Neurosci Nurs. 2012 Apr;44(2):72-81. doi: 10.1097/JNN.0b013e3182477944.
Poststroke depression is common but remains underdiagnosed and undertreated. One explanation for this is that depressive symptoms go unrecognized by stroke survivors and their family caregivers and thus go unreported to the stroke survivor's healthcare provider. Forty-four stroke survivor-informal caregiver dyads were interviewed using a depression knowledge scale, the Center for Epidemiologic Studies Depression Scale, and an adapted version of the Revised Illness Perception Questionnaire to determine their lay knowledge of depressive symptoms, recognition of poststroke depressive symptoms, and perception of the recognized symptoms. Caregivers and stroke survivors had moderate knowledge of depressive symptoms but had some misconceptions. The most commonly recognized poststroke depressive symptoms by stroke survivors were "feeling like everything was an effort," "restless sleep," "difficulty concentrating," and "talking less than usual." Caregivers identified that the stroke survivor was "feeling like everything was an effort," had "restless sleep," "felt sad," and "felt depressed." Three quarters of stroke survivors with high levels of depressive symptoms identified the cluster of symptoms as potentially being depression. Neuroscience nurses are in the unique position to educate stroke survivors and their caregivers about poststroke depressive symptoms, treatment options, and the importance of discussing depressive symptoms with their healthcare provider.
脑卒中后抑郁很常见，但仍未被充分诊断和治疗。一个解释是，脑卒中幸存者及其家庭照顾者没有意识到抑郁症状，因此没有向脑卒中幸存者的医疗保健提供者报告。对 44 对脑卒中幸存者-非正式照顾者进行了访谈，使用了抑郁知识量表、流行病学研究中心抑郁量表和修订后的疾病感知问卷的改编版，以确定他们对抑郁症状的了解、对脑卒中后抑郁症状的识别以及对识别症状的感知。照顾者和脑卒中幸存者对抑郁症状有中等程度的了解，但存在一些误解。脑卒中幸存者最常识别出的脑卒中后抑郁症状是“感觉一切都很费力”、“睡眠不安”、“注意力难以集中”和“比平时话少”。照顾者认为脑卒中幸存者“感觉一切都很费力”、“睡眠不安”、“感到悲伤”和“感到沮丧”。四分之三的有高度抑郁症状的脑卒中幸存者认为这些症状可能是抑郁症。神经科学护士处于独特的位置，可以向脑卒中幸存者及其照顾者教育脑卒中后抑郁症状、治疗选择以及与医疗保健提供者讨论抑郁症状的重要性。
