Prevalence of anxiety and depressive symptoms in home-care stroke patients effected on motor recovery and functional ability

Abstract

Background Stroke or cerebrovascular disease (CVD) is a chronic disease
with acute episode. It is a common in neurological patients and a
major public health problem worldwide. Patients become disabled
and usually take a long time to rehabilitate. Disability affects
the mental health of the post-stroke patients, especially anxiety
and depression.
Objective To examine the prevalence of anxiety and depressive symptoms
in 52 home-care stroke patients and the effect of anxiety and
depression on the motor recovery and functional ability in homecare
project to King Chulalongkorn Memorial Hospital, the Thai
Red Cross Society.

Methods : The research instruments collected demographic and medical data from subjective examination and outpatient department card (OPD card). There are also Thai version of Hospital Anxiety and Depression Scale, the Motor Assessment Scale, the Bathel ADL index, and range of motion of the shoulder. The data were analyzed
using descriptive statistics: percentage, means, and standard deviation. Chi-square and logistic regression were used to find the correlation between independent and dependent variables.

Results : Percentage of anxiety and depression are 57.6 (anxiety 19.2%; depression 51.9%) in 1 month post-discharge and 25.0 (anxiety 9.6%, depression 21.2%) in 1 month after the home-care program. Anxiety and depression were significantly associated with motor recovery, functional ability, and range of motion of the shoulder at P <0.05. After being analyzed by logistic regression, Factors predicting motor recovery were a personal physical therapist, pathology lesion on left brain, anxiety and depressive symptom (P <0.05). Activity in daily living was significantly predicted by elderly age, income, anxiety and depressive symptom at P <0.05. The range of motion of the shoulder was significantly predicted in income, a personal physical therapist, shoulder pain, anxiety and depressive symptom at P <0.05.

Conclusion : The results demonstrate high prevalence of anxiety and depressive symptoms in post-stroke patients but there was low prevalence in patients under Home-Care Project. Furthermore, there were associations between motor recovery, functional ability, and range of motion of the shoulder.