Jeong Yeon-Jae, Kim Won-Cheol, Kim Yoon-Shin, Choi Kwan-Woo, Son Soon-Yong, Jeong Yeon-Gyu
Rehabilitation Medicine, Hanyang University Medical Center, Republic of Korea.
Environmental and Industrial Medicine, Hanyang University Medical Center, Republic of Korea.
J Phys Ther Sci. 2014 Aug;26(8):1263-6. doi: 10.1589/jpts.26.1263. Epub 2014 Aug 30.
[Purpose] This study investigated the primary factors behind changes in depressive symptoms among stroke patients after 8 weeks of rehabilitation (physical, occupational, and cognitive therapy). [Methods] This study was conducted using a literature review, and electronic medical records from January, 2008 to December, 2009. Data were collected for 120 subjects with chronic stroke. [Results] Cardiac disorder, left-brain lesion, early-stage depression, activities of daily living, and cognitive function were significant predictors of the changes in depression in chronic stroke patients. [Conclusion] Post-stroke depression can be controlled by rehabilitation. Also, clinicians should comprehend and share the psychological and physical affliction, develop back-up programs, and make them comprehensively available to support the psychological and physical health of subjects with chronic stroke.
[目的] 本研究调查了中风患者在接受8周康复治疗（物理、职业和认知治疗）后抑郁症状变化的主要因素。[方法] 本研究采用文献综述和2008年1月至2009年12月的电子病历进行。收集了120例慢性中风患者的数据。[结果] 心脏疾病、左脑病变、早期抑郁、日常生活活动能力和认知功能是慢性中风患者抑郁变化的重要预测因素。[结论] 中风后抑郁可通过康复治疗得到控制。此外，临床医生应理解并分担患者的心理和身体痛苦，制定备用方案，并全面提供这些方案以支持慢性中风患者的心理和身体健康。
