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

Kowalska, Joanna PhD1; Bojko, Ewa Msc2; Szczepańska-Gieracha, Joanna PhD1; Rymaszewska, Joanna MD, PhD3; Rożek-Piechura, Krystyna PhD1,2

Rehabilitation Nursing Journal: March 2016 - Volume 41 - Issue 2 - p 112–119
doi: 10.1002/rnj.203
Continuing Education

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.

1Department of Physiotherapy, University School of Physical Education, Wroclaw, Poland

2Faculty of Physical Education and Physiotherapy, Opole University of Technology, Opole, Poland

3Division of Consultation Psychiatry and Neuroscience, Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland

Published online 14 March 2015.


Joanna Kowalska, Department of Physiotherapy, University School of Physical Education, al. J.Paderewskiego 35, Wroclaw 51–612, Poland.


© 2016 Association of Rehabilitation Nurses.
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