Effect of an Interventional Programme on Post Stroke Depression among Stroke Survivors in a Tertiary Care Centre, Thiruvananthapuram

Stroke is one of the leading causes of death and disability in India. According to the World Health Organization (WHO), stroke is projected to become one of the leading causes of death and disability worldwide. Post-stroke depression (PSD) affects approximately 32.9%–35.9% of stroke survivors, which is considerably higher than the prevalence of depression in the general population (10%). PSD is associated with cognitive dysfunction, impaired recovery of activities of daily living (ADL), and increased mortality. This study aimed to assess the effect of an interventional programme on post-stroke depression among stroke survivors attending a tertiary care hospital in Thiruvananthapuram. The conceptual framework was based on Betty Neuman's Systems Model.
A quantitative research approach with a one-group pre-test post-test design was adopted. Forty-five post-stroke survivors were selected using consecutive sampling. The study was conducted in the Neurology Outpatient Department and Neuromedicine Ward of Government Medical College Hospital, Thiruvananthapuram. Data were collected using three tools: (1) Socio-demographic and Clinical Data Sheet, (2) Hospital Anxiety and Depression Scale (HADS), and (3) Beck Depression Inventory (BDI). Following the pre-test, participants received an interventional programme consisting of education regarding stroke management and rehabilitation using flash cards, followed by instructions for music therapy. Post-test assessment was conducted three weeks later during follow-up visits.
Among the 45 participants, 91.1% had moderate-to-severe depression during the pre-test, which decreased to 57.8% during the post-test. The mean depression score decreased significantly from 22.62 ± 2.79 to 18.89 ± 2.77 following the intervention (p < 0.001). The interventional programme, including music therapy, was effective in significantly reducing post-stroke depression among stroke survivors.

Stroke; post-stroke depression; music therapy; rehabilitation; intervention

1. Boon NA, Colledge NR, Walker BR. Davidson’s Principles & Practice of Medicine. 20th ed. Philadelphia: Chuchill Livingstone; 2006.pp.1200 https://share.google/ILXtAnGTPXAF74vIr [Google Scholar] [Crossref]

2. Sanford JT. Nursing management stroke. In: Lewis SL, Heitkemper MC, Dirsken SR, editors. Medical surgical nursing: Assesssment and Management of Clinical Problems. seventh edition. Missouri: Mosby an imprint of elsevier, 2007. pp. 1502. [Google Scholar] [Crossref]

3. Subha PP, Pillai Geethakumari SM, Athira M, Nujum ZT. Pattern and risk factors of stroke in the young among stroke patients admitted in medical college hospital, Thiruvananthapuram. Ann Indian Acad Neurol. 2015 Jan-Mar;18(1):20-3. doi: 10.4103/0972-2327.144293. PMID: 25745305; PMCID: PMC4350208. [Google Scholar] [Crossref]

4. American stroke association. Post stroke mood disorders. Updated 2018, November 21, cited 2019 March3. Available from: http://www.strokeassociation.org.en/about-stroke. [Google Scholar] [Crossref]

5. Chun HY, Whiteley WN, Carson A, Dennis M, Mead GE. Anxiety after stroke: time for an intervention. International Journal of Stroke.2015; Vol.10:655-56. [Google Scholar] [Crossref]

6. Eum Y, Yim J. Literature and art therapy in post stroke psychological disorders. Tohoku.J.Exp.Med. 2015; Vol.235: 17-23. [Google Scholar] [Crossref]

7. Jayanthi KN, Nagarajaiah. Effect of nursing intervention on anxiety and depression in individuals suffering from stroke. Nightingale nursing times.2011; Vol.6:16-20. [Google Scholar] [Crossref]

8. Kim DS, Park YG, Choi JH, Im SH, Jung KJ, Cha YA et al. Effects of music therapy on mood in stroke patients. Yonsei Med J. 2011; 52(6):977-981. doi:10.3349/ymj.2011.52.6.97712. [Google Scholar] [Crossref]

9. Laura D, Sylvie J, Aurore S. The effects of music therapy on anxiety and depression. Ann Depress Anxiety. 2015; 2(4):1057. [Google Scholar] [Crossref]

10. Jasemi M, Aazami S, Zabihi RE. The effects of music therapy on anxiety and depression of cancer patients. Indian journal of palliative care. 2016 Oct; 22(4):455. [Google Scholar] [Crossref]

11. Snaith RP. The Hospital Anxiety and Depression Scale. Health Qual Life Out. 2003. [Google Scholar] [Crossref]

12. Beck, A.T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. [Google Scholar] [Crossref]

13. Chaiyawat P, Kulkantrakorn K, Sritipsukho P. Effectiveness of home rehabilitation for ischemic stroke. Neurol Int. 2009 Nov 16;1(1):e10. doi: 10.4081/ni.2009.e10. PMID: 21577347; PMCID: PMC3093230. [Google Scholar] [Crossref]

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