回復期リハビリテーション病棟におけるPost-Stroke Depressionと日常生活動作との関連性の検討

Rates and predictive factors of Post-Stroke Depression in a recovery rehabilitation unit

要旨：本研究の目的は，Post-Stroke Depression（PSD）と日常生活動作との関連を明らかにすることである．脳血管障害患者21名の精神的健康状態を日本語版WHO-5精神的健康状態表（WHO-5），ADL評価をFIM，知能評価を長谷川式簡易知能評価スケール（HDS-R），運動麻痺はBrunnstrom Recovery Stage（BRS）を用いて評価した．分析は，WHO-5の単純集計，FIM下位項目とWHO-5の偏相関係数（HDS-RとBRS上肢・下肢・手指を制御変数），相関が認められたFIM下位項目を独立変数，WHO-5を従属変数とした重回帰分析（Stepwise法）を行った．その結果，精神的健康状態の影響要因としてセルフケアが抽出された．

　This study was to investigated the relationship between depression syndrome and activities of daily living (ADL). The subjects consisted of 21 patients with cerebrovascular disease. Depression syndrome was evaluated using the WHO-Five well-being index (WHO-5). ADL, cognitive function, and hemiplegia were evaluated using the Functional Independence Measure (FIM), Revised Hasegawa's Dementia Scale (HDS-R), and Brunnstrom Recovery Stage (BRS), respectively. First, the simple tabulation of WHO-5 was analyzed. Second, the coefficient of correlations between FIM (lower items) and WHO-5 was calculated. Finally, FIM (lower items) were set as the dependent variable, and WHO-5 values were considered explanatory variables. Following this, multiple linear regression analysis (stepwise method) was performed. Our results suggest that self-care has an influence on depressive syndrome.