재가노인의 뇌졸중 후 우울 예측요인
Predictors of Post Stroke Depression in Community-indwelling Older Adults
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초록
Purpose: Post Stroke Depression(PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health(OR=5.90, CI=3.70~9.40), economic state(OR=2.97, CI=2.07~4.24), independent activities of daily living(IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living(ADL) (OR=2.02, CI=1.07~3.80), and education(OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living(IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.
Abstract
Purpose: Post Stroke Depression(PSD) is one of the most common complications for stroke survivors and is associated with negative health outcomes such as disability, death. The purpose of this study was to investigate the prevalence and predictors of PSD among older Korean adults living in the community. Methods: Data collection was done using the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Participants were 706 older adults who had a stroke. Logistic regression analysis was used to determine the predictors of PSD. Results: The prevalence of PSD which was assessed by the short form of the geriatric depression scale was 49.4%. In a logistic regression model, the predictors of PSD were self-rated health(OR=5.90, CI=3.70~9.40), economic state(OR=2.97, CI=2.07~4.24), independent activities of daily living(IADL) (OR=2.17, CI=1.30~3.63), Activities of Daily Living(ADL) (OR=2.02, CI=1.07~3.80), and education(OR=1.53, CI=1.05~2.24). Conclusion: PSD was common among older Korean adults living in the community. Poor self-rated health status, lower economic state, lower levels of Instrumental Activities of Daily Living(IADL) and ADL, lower levels of education should be considered when conducting activities related to prevention and management of PSD in older adults.
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