Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Activity Restriction on Depression and Quality of Life in Stroke Patients using Logistic Regression Analysis

로지스틱 회귀분석을 이용한 뇌졸중 환자의 활동제한이 우울증 및 삶의 질에 미치는 영향

  • 이도연 (대구대학교 물리치료학과) ;
  • 남승민 (대구대학교 물리치료학과)
  • Received : 2019.07.26
  • Accepted : 2019.08.19
  • Published : 2019.11.30
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Abstract

PURPOSE: The aim of this study was to help physical therapists involved in rehabilitation in the direction of clinical intervention in the treatment of stroke patients by understanding how an activity restriction of stroke patients affects depression and the quality of life associated with health. METHODS: This study assessed 404 stroke patients from the Korean National Health and Nutritional Examination Survey. The subjects were divided into two categories: activity restriction and non-activity restriction. The variables used in this study were depression diagnosed by a doctor and EQ-5D, which evaluates the quality of life. Logistic regression analysis was used to calculate the odds ratios associations of activity restriction with depression and the quality of life in stroke patients. RESULTS: The diagnosis of depression with an activity restriction was 11.2%, while 4.8% of those with non-activity restrictions were diagnosed with depression (p<.05), and the EQ-5D index of was .68±.03, .88±.01(p<.05). The odds ratio for depression with an activity restriction was 3.37 (95% CI, 1.49-7.63) compared to the non-activity restriction. A statistically significant difference in the odds ratio was observed for each item in the EQ-5D. CONCLUSION: Activity restriction in stroke patients increases the probability of depression, and reduces the quality of life significantly. The treatment for stroke patients should be approached, taking psychological factors into account. In addition, rehabilitation programs that can be performed systematically and continuously are deemed necessary.

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References

  1. Mottillo S, Filion KB, Genest J, et al. The metabolic syndrome and cardiovascular risk a systematic review and meta-analysis. J Am Coll Cardiol. 2010;56(14):1113-32. https://doi.org/10.1016/j.jacc.2010.05.034
  2. Kim JH, Kang HS, Kim WO, et al. Factors affecting the quality of life in stroke patient at home. Korean J Rehabil Nurs. 2006;9(1):49-55.
  3. Jorgensen HS, Kammersgaard LP, Nakayama H, et al. Treatment and rehabilitation on a stroke unit improves 5-year survival: a community-based study. Stroke. 1999;30(5):930-33. https://doi.org/10.1161/01.str.30.5.930
  4. Park IS, Kim DY, Kang CY. The relationship of dysfunctions degree, daily living activity, depressiveness and quality of life among the elderly suffering from stroke. KJ-HSM. 2011;5(2):173-86. https://doi.org/10.12811/kshsm.2011.5.2.173
  5. Park SW, Jang KE, Lee HS, et al. The Relationship between Activities of Daily Living and Cognitive Function, Anxiety, Stress, Depression in Stroke Patients. J Korean Acad Rehabil Med. 1999;23(1):1-8.
  6. Astrom M, Adolfsson R, Asplund K. Major depression in stroke patients. A 3-year longitudinal study. Stroke. 1993;24(7):976-82. https://doi.org/10.1161/01.STR.24.7.976
  7. Kim HS, Hwang YO, Yu JH, et al. The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. J Korean Soc Occup Ther. 2009;17(3):41-53.
  8. Kim K, Kim YM, Kim EK. Correlation between the activities of daily living of stroke patients in a community setting and their quality of life. J Phys Ther Sci. 2014;26(3):417-19. https://doi.org/10.1589/jpts.26.417
  9. De Haan R, Horn J, Limburg MMDP, et al. A comparison of five stroke scales with measures of disability, handicap, and quality of life. Stroke. 1993;24(8):1178-81. https://doi.org/10.1161/01.str.24.8.1178
  10. Mayo NE, Wood-Dauphinee S, Cote R, et al. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehab. 2002;83(8):1035-42. https://doi.org/10.1053/apmr.2002.33984
  11. Carson RG. Neural pathways mediating bilateral interactions between the upper limbs. Brain Res Rev. 2005;49(3):641-662. https://doi.org/10.1016/j.brainresrev.2005.03.005
  12. Kim WO, Kang HS, Wang MJ, et al. Relationships among activity of daily living, depression, and quality of life (QOL) in patients with stroke. J East-West Nurs Res. 2007;13(2):138-46.
  13. Bak HK. The effects of the health promotion program on functional status of the in-house stroke patients. Korean J Rehabil Nurs. 2003;6(2):213-25.
  14. Kim HC, Kim SJ, Choi NK, et al. Quality of life after stroke: A two-month follow-up. J Korean Neuropsychiatr Assoc. 2002;41(4):681-92.
  15. Landreville P, Desrosiers J, Vincent C, et al. The role of activity restriction in poststroke depressive symptoms. Rehabil Psychol. 2009;54(3):315. https://doi.org/10.1037/a0016572
  16. King RB. Quality of life after stroke. Stroke. 1996;27(9):1467-72. https://doi.org/10.1161/01.STR.27.9.1467

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