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. 2016 Mar-Apr;41(2):112-9.
doi: 10.1002/rnj.203. Epub 2015 Mar 14.

Occurrence of Depressive Symptoms Among Older Adults after a Stroke in the Nursing Home Facility

Joanna Kowalska  1 , Ewa Bojko  2 , Joanna Szczepańska-Gieracha  1 , Joanna Rymaszewska  3 , Krystyna Rożek-Piechura  1   2
Affiliations

Occurrence of Depressive Symptoms Among Older Adults after a Stroke in the Nursing Home Facility

Joanna Kowalska et al. Rehabil Nurs. 2016 Mar-Apr.

Abstract

Purpose: The aim of the study was to analyze the prevalence of depressive symptoms among older adults after stroke in a nursing home (NH).

Design: The study was conducted in a NH and included 50 patients after stroke with a mean age of 74.62 (±8.2).

Method: The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Acceptance Illness Scale (AIS) and Barthel Index (BI) were used.

Findings: Mean GDS was 7.60 (±2.75); 74% of patients had depressive symptoms. The study showed a significant relationship between GDS and marital status (p = .043). A negative correlations between GDS and MMSE (p = .029), GDS and BI (p = .049), and GDS and AIS (p < .0001) were found.

Conclusion: The occurrence of depressive symptoms in older adults after stroke depends on their mental and functional status, degree of acceptance of illness, and marital status.

Clinical relevance: Early detection of depressive symptoms in stroke patients allows rehabilitation nurses to optimize the therapeutic effects.

Keywords: Depressive symptoms; nursing home; stroke.

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