The related factors of post-stroke depression and nursing intervention in patients with motor aphasia

Abstract

Objective To explore the related factors and nursing interventional methods of depression in patients with motor aphasia after stroke. Methods The Stroke Aphasic Depression Questionnaire-Hospital version (SADQ-H) was used to diagnose depression of 271 patients with motor aphasia after stroke. The association of post-stroke depression with social factors, vascular risk factors and stroke features were analyzed. The relationship between depression severity and aphasia severity were analyzed. A total of 166 patients with depression were divided into the control group and the observation group to carry out different nursing interventional methods. Results The incidence of post-stroke depression in patients with motor aphasia was 61.3% (166/271). The occurrence of post-stroke depression was correlated with female (χ2=5.580, P=0.02) , age less than 60 years old (χ2=4.390, P=0.04) , living alone (χ2=5.400, P=0.02) , recent negative events (χ2=4.420, P=0.04). The multi-factor Logistic regression analysis showed that the occurrence of post-stroke depression was independently associated with female (OR= 2.58, 95%CI 2.12-3.86, P < 0.01), age less than 60 years old (OR= 2.62, 95%CI 2.16-3.94, P < 0.01), living alone (OR= 2.59, 95%CI 2.13-3.92, P < 0.01). After 4 weeks of nursing intervention, there were significant differences in SADQ-H scores (t=2.94, P = 0.002) and distribution of Boston Diagnostic Aphasia Examination (BDAE) (χ2= 14.045, P=0.000) between the control group and the observation group. Conclusions Female, ages less than 60 years old, living alone are independent risk factors of post-stroke depression in motor aphasia patients. The degree of depression is associated with aphasia severity. The early nursing intervention can improve the depression status and promote recovery of the language function of patients with motor aphasia after stroke. Key words: Aphasia, broca; Stroke; Risk factors; Nursing care; Post-stroke depression