Ezema Charles I, Akusoba Petronella C, Nweke Martins C, Uchewoke Chigozie U, Agono Joshua, Usoro Godspower
Department of Medical Rehabilitation, Faculty of Health Sciences and Technology University of Nigeria Nsukka, Enugu Campus, Enugu Nigeria.
Ethiop J Health Sci. 2019 Jan;29(1):841-846. doi: 10.4314/ejhs.v29i1.5.
Little attention has been paid to screening of depression among stroke survivors in outpatient physiotherapy clinics. Post-stroke depression is reported to have a negative impact on functional recovery. However, the exact influence on the outcome of rehabilitation such as level of functional independence remains controversial. This study aims at ascertaining the influence of post-stroke depression on functional independence in activities of daily living.
The study is a cross sectional survey of stroke survivors attending outpatient physiotherapy clinics of the University of Nigeria Teaching Hospital (UNTH) Enugu, and the Enugu State University Teaching Hospital (ESUTH). Participants were evaluated for socio-demographic characteristics. Post-stroke depression and level of functional recovery in Activities of Daily Living were assessed using the Hamilton Depression Rating Scale and the Barthel Index respectively. Data was analyzed using SPSS version 23, with α set at 0.01.
A total of 66 participants, 42 females and 24 males, were purposively recruited into the study. Over 80% (56) of the participant had depression, with over 50% (32) being severely depressed. Post-stroke depression was associated with less functional independence in activities of daily living (p=0.000). A significant difference was found in the level of functional independence between participants with and without depression (p=0.00).
Participants with post-stroke depression have less independence in activities of daily living. A longitudinal study with a larger sample size is, however, recommended so as to improve the external validity. In the mean time, outpatient rehabilitation of depressed stroke survivors should include pharmacological and psychological components.
门诊物理治疗诊所对中风幸存者的抑郁症筛查关注较少。据报道，中风后抑郁症对功能恢复有负面影响。然而，其对康复结局如功能独立水平的确切影响仍存在争议。本研究旨在确定中风后抑郁症对日常生活活动中功能独立的影响。
本研究是对在尼日利亚大学教学医院（UNTH）埃努古分院和埃努古州立大学教学医院（ESUTH）门诊物理治疗诊所就诊的中风幸存者进行的横断面调查。对参与者的社会人口学特征进行评估。分别使用汉密尔顿抑郁量表和巴氏指数评估中风后抑郁症及日常生活活动中的功能恢复水平。数据使用SPSS 23版进行分析，α设定为0.01。
共 purposively招募了66名参与者，其中42名女性和24名男性。超过80%（56名）的参与者患有抑郁症，超过50%（32名）为重度抑郁。中风后抑郁症与日常生活活动中功能独立性较差相关（p = 0.000）。在有抑郁症和无抑郁症的参与者之间，功能独立水平存在显著差异（p = 0.00）。
中风后抑郁症患者在日常生活活动中的独立性较差。然而，建议进行一项样本量更大的纵向研究，以提高外部效度。同时，抑郁症中风幸存者的门诊康复应包括药物和心理成分。
