Hadidi Niloufar Niakosari, Huna Wagner Roberta L, Lindquist Ruth
Res Gerontol Nurs. 2017 Jul 1;10(4):182-195. doi: 10.3928/19404921-20170524-02. Epub 2017 May 30.
Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological treatments for PSD and present findings regarding the efficacy of investigated treatments. Twenty-one studies published from 1992-2016 were identified and synthesized. Results indicated that studies demonstrating improvement in depressive symptoms included ecosystem-focused therapy, life review therapy, problem solving therapy, meridian acupressure, repetitive transcranial magnetic stimulation, music therapy, exercise, light therapy, motivational interviewing, and robotic-assisted neurorehabilitation. [Res Gerontol Nurs. 2017; 10(4):182-195.].
中风是第五大死因，也是长期残疾的首要原因。每年75%的中风患者年龄超过65岁。中风后抑郁（PSD）是中风的常见后果，估计患病率在25%至79%之间。尽管有几项研究调查了药物干预对PSD的影响，但关于非药物措施治疗PSD疗效的知识仍存在重大差距。当前综合文献综述的目的是综合关于PSD选定非药物治疗的知识状况，并呈现所研究治疗疗效的相关结果。对1992年至2016年发表的21项研究进行了识别和综合。结果表明，显示抑郁症状改善的研究包括以生态系统为重点的治疗、生活回顾治疗、问题解决治疗、经络按摩、重复经颅磁刺激、音乐治疗、运动、光疗、动机访谈和机器人辅助神经康复。[《老年护理研究》。2017年；10(4):182 - 195。]
