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뇌졸중 환자가 경험하는 외상 후 스트레스 증후, 불안 및 우울
Posttraumatic Stress Symptoms, Anxiety, and Depression after Stroke
윤희숙 (뇌졸중 센터) 남혜주 (뇌졸중 센터) 박소영 (뇌졸중 센터) 한정희 (뇌졸중 센터) 장송자 (뇌졸중 센터) 성일순 (병동 2파트) 황문숙 (가정간호파트)
언어 :
권호 : v.15, no.1, 5-13,
발행일자 : 2008년 6월
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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 (HADA≥8). On the HSD scale, 44.1% of the patients reached the cutoff for depression (HADD≥8). 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.