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KMID : 0922320080150010005
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Journal of Korean Academic Society of Home Care Nursing
2008 Volume.15 No. 1 p.5 ~ p.13
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Posttraumatic Stress Symptoms, Anxiety, and Depression after Stroke
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Yoon Hee-Sook
Nam Hye-Joo
Park So-Young
Han Jung-Hee
Jang Song-Ja
Seong Il-Soon
Hwang Moon-Sook
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Abstract
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Purpose: The purpose of this study was to evaluate for the presence of posttraumatic stress disorder (PTSD)-related symptoms, anxiety, and depression after stroke. Eighty-four patients were enrolled between 2 and 12 months after their first ischemic or hemorrhagic stroke.
Methods: PTSD symptoms were evaluated using the Impact of Event Scale (IES). The IES is a 15-item scale measuring intrusion and avoidance symptoms. The authors assessed mood alterations using the Hospital Anxiety and Depression Scale (HAD). The HAD is a brief, 14-item, self-reported questionnaire used to detect symptoms of anxiety (HADA) and depression (HADD). The survey data were analyzed using the SPSS 10.0 program. Frequency, mean, standard deviation, percentage t-test, and Pearson correlation coefficient were determined.
Results: Twenty nine of the 84 (34.5%) patients scored higher than the cutoff for PTSD on the IES (IES>26). With use of the HAD scale, 44% of the patients reached the cutoff for anxiety (). On the HSD scale, 44.1% of the patients reached the cutoff for depression (). PTSD symptoms and anxiety were more frequent in women under age 39, without spouses, who had operations. Depression was more frequent in patients without spouses. There was a statistically significant correlation among posttraumatic stress symptoms, anxiety, and depression.
Conclusion: There was statistically significant correlation among PTSD symptoms, anxiety, and depression in stroke patients. Therefore, it is necessary to develop nursing intervention for stroke patients with these clinical manifestations.
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KEYWORD
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Stroke, PTSD symptoms, Anxiety, Depression
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