Chen Junya, Li Yun, Liu Jing, Zhang Yi, Zeng Yawei, Chen Mengjiao, Ding Weiwei, Lu Zhongqiu, Xu Hongbo, Li Jufang
School of Nursing, Wenzhou Medical University, Wenzhou, China.
The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Nurs Open. 2021 Sep;8(5):2488-2497. doi: 10.1002/nop2.772. Epub 2021 Jan 20.
To identify the symptom clusters of early-stage poststroke depression (PSD) and provide an in-depth understanding of the symptoms.
A mixed-methods study with a convenient sampling method was used.
A cross-sectional questionnaire survey in 231 stroke patients and semi-structured interviews in 14 stroke patients were conducted in the neurological department of a comprehensive hospital in Southeast China. Data from the questionnaire survey were analysed through descriptive and exploratory factor analyses; data from the semi-structured interview were transcribed verbatim and analysed through inductive content analysis. This study adheres to the GRAMMS checklist.
Exploratory factor analysis revealed six symptom clusters of early-stage PSD that accounted for an ideal variance in PSD: nervous, wakefulness, emotional, dull, guilt and low mood. Further, inductive content analysis revealed five themes that were like the above symptom clusters, except for the dull symptom cluster.
识别脑卒中后早期抑郁（PSD）的症状群，并深入了解这些症状。
采用便利抽样法进行混合方法研究。
在中国东南部一家综合医院的神经科，对231例脑卒中患者进行了横断面问卷调查，并对14例脑卒中患者进行了半结构式访谈。问卷调查数据通过描述性和探索性因素分析进行分析；半结构式访谈数据逐字转录，并通过归纳性内容分析进行分析。本研究遵循GRAMMS清单。
探索性因素分析揭示了PSD早期的六个症状群，这些症状群在PSD中占理想的方差：紧张、觉醒、情绪、迟钝、内疚和情绪低落。此外，归纳性内容分析揭示了五个与上述症状群相似的主题，但迟钝症状群除外。
