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Coronary Artery Disease: Causes, Symptoms and Treatments
Title
Coronary Artery Disease: Causes, Symptoms and Treatments
Editor
iConcept Press
Price
USD$39.00
ISBN
978-1-922227-92-8
Clicks
6783

Chapter 1

Coronary Artery Disease: Causes, Symptoms and Treatments

The Importance of Cognitive and Physical Functions on Improvement in Depression of Patients with Chronic Stroke

by Yeon-Gyu Jeong, Yeon-Jae Jeong, In-Hyuk Lim and Hyun-Sook Kim

Viewed: 561

Abstract

[Purpose] The present study is to investigate the clinical effect of 8-week rehabilitation program on physical, cognitive, and depressive symptoms among patients with chronic stroke, to explore the changes in cognitive, physical, and depressive symptoms after 8 weeks rehabilitation by group with and without depressive symptoms, and finally to find out primary factors that cause improvement or worsening of depression by 8 week rehabilitation (physical, occupational, and cognitive therapy). [Methods] This study was conducted using electronic medical records from January, 2008 to December, 2009. Data were obtained on general or clinical characteristics in patient medical records for 120 patients with chronic stroke. The following main outcome measures were used as screening tools: the Beck Depression Inventory (BDI) for depression, Mini-Mental State Examination-Korean (MMSE-K) for cognition, and Modified Barthel Index (MBI) for activities of daily living (ADLs). MMSE-K and MBI were divided into 2 categories with better groups counted as >25% improvement, and the others as less-improvement by 8-week rehabilitation. BDI was also classified by cutoff point of 21 scores to see whether rehabilitation would improve cognitive and ADLs according to the presence of depression. [Results] The 8-week rehabilitation program, besides its positive effect on cognition and functioning, was also effective in reducing stroke patients who scored above cutoff on depression scores. Furthermore, our findings showed improvement in cognitive, physical, and depressive symptoms with 8 weeks of rehabilitation program, irrespective of depression. The subjects with having had the cardiac disorder and depression, improved ADLs, and cognitive functions were identified as significant predictors of improvement of depression through rehabilitation in chronic stroke patients. [Conclusion] The post-stroke depression should be focused on improvement in cognition and ADLs through rehabilitation independent of presence of depression. Also, the clinicians should comprehend and share the psychological and physical affliction, developing back-up programs, and making them comprehensively available to support the psychological and physical health of subjects with chronic stroke.

Author Details

Yeon-Gyu Jeong
Department of Physical Therapy, Sangji University, Republic of Korea
Yeon-Jae Jeong
Rehabilitation Medicine, Hanyang University Medical Center, Republic of Korea
In-Hyuk Lim
Department of Physical Therapy, Yeoju Institute of Technology, Republic of Korea
Hyun-Sook Kim
Department of Physical Therapy, Yeoju Institute of Technology, Republic of Korea

Citation

Yeon-Gyu Jeong, Yeon-Jae Jeong, In-Hyuk Lim and Hyun-Sook Kim. The Importance of Cognitive and Physical Functions on Improvement in Depression of Patients with Chronic Stroke. In Coronary Artery Disease: Causes, Symptoms and Treatments. ISBN:978-1-922227-92-8. iConcept Press. 2016.

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