| Summary: | 碩士 === 輔英科技大學 === 護理系碩士班 === 107 === Abstract
Stroke is one of the common neuropathy, which is a common medical condition in the elderly and a major cause of death and disability for people with the disease. In Vietnam in recent years, brain stroke has become a serious health problem for people, the third leading cause of death after cancer and cardiovascular disease.
Stroke usually occurs suddenly and severely with focal neurological symptoms, disturbed consciousness. If the acute phase of illness usually leaves many physical and mental sequelaes and greatly affects the quality of life of the patient. In mental disorders after stroke, depression is the most common manifestation. Depression adversely affects people with brain stroke such as prolonged rehabilitation time - hospital stay, reduced quality of life, increased risk of death, cognitive decline.
Depression after stroke is the most common neurological complication of stroke in older people. This descriptive study investigates the incidence of depression after stroke and examines its relationship with related factors including age, gender, education level, daily activities, Social support of these elders. One hundred and twenty participants were randomly selected to participate in this study from January to April 2019. Data collection was conducted at Cam Ranh Hospital and Traditional Medicine Hospital- Khanh Hoa Province Rehabilitation, Vietnam using four questions: Demographic, Post-stroke Depression Assessment (PSDRS), with .85 reliability, revised Bathel Index (MBI) , with reliability of .94, Multi-dimensional scale of Cognitive Social Support (MSPSS), with its reliability of .87. Frequency, percentage, average value, standard deviation were used to analyze the data.
The results show that older people may also experience depression after a stroke. People with brain stroke are between 60 and 93 years old with an average of 68.43 years (SD = 7.375). Activities of daily living and social support are significantly correlated with depression after stroke (r = -.567, r = -.652, p <.01, respectively). However, there is no statistical significance in the relationship between age, gender, marriage level and depression after stroke. Therefore, it is recommended that nursing interventions to reduce post-stroke depression in these older people should consider these factors. Research shows that health workers need to take measures to support patients, to coordinate with relatives, families and society to pay more attention to the psychological and emotional issues of patients, especially communication. with them, learn to grasp the happenings, the state, the psychology of the patients, to timely encourage the patients to be assured of treatment.
Keywords: Stroke, post-stroke depression, older.
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