Terrill Alexandra L, Schwartz Jaclyn K, Belagaje Samir R
Department of Occupational & Recreational Therapies, University of Utah, Salt Lake City, USA.
Occupational Therapy Department, Florida International University, Miami, FL, USA.
Stroke Res Treat. 2018 Jun 4;2018:6187328. doi: 10.1155/2018/6187328. eCollection 2018.
Individuals with mild strokes are generally considered fully functional and do not traditionally receive rehabilitation services. Because patients with mild stroke are assumed to have a good recovery, they may have deficits in other areas, including mental health, that are not addressed. As a result, patients with mild stroke are unable to meet quality of life standards. In addition, healthcare professionals are likely unaware of the potential mental health issues that may arise in mild stroke. To address this gap in knowledge, we review the evidence supporting mental health evaluation and intervention in mild stroke. Specifically, we review comorbid diagnoses including depression, anxiety, fatigue, and sleep disturbances and their potential effects on health and function. Finally, we conclude with general recommendations describing best practice derived from current evidence.
轻度中风患者通常被认为功能完全正常，传统上不接受康复服务。由于轻度中风患者被认为恢复良好，他们可能在包括心理健康在内的其他领域存在未得到解决的缺陷。因此，轻度中风患者无法达到生活质量标准。此外，医疗保健专业人员可能未意识到轻度中风中可能出现的潜在心理健康问题。为了弥补这一知识差距，我们回顾了支持轻度中风心理健康评估和干预的证据。具体而言，我们回顾了包括抑郁症、焦虑症、疲劳和睡眠障碍在内的共病诊断及其对健康和功能的潜在影响。最后，我们给出了基于当前证据的最佳实践的一般建议作为结论。
