Functional Outcome, Cognitive and Coping in Stroke Ischemic Survivors after Three Months Onset: Comparison between Post Stroke Depression and Non-Post Stroke Depression Groups

Abstract

10 Invited Lectures Functional Outcome, Cognitive and Coping in Stroke Ischemic Survivors after Three Months Onset: Comparison between Post Stroke Depression and Non- Post Stroke Depression Groups Fitria Handayani1 Setyowati2 Dwi Pudjonarko3 Dian Ratna Sawitri 4 1Department of Nursing, Faculty of Medicine, Diponegoro University, Semarang, Indonesia 2Faculty of Nursing, University of Indonesia, Jakarta, Indonesia 3Neurology Study Program, Faculty of Medicine, Diponegoro University, Semarang, Indonesia 4Faculty of Psychology, Diponegoro University, Semarang, Indonesia Corresponding email: fitriaha@yahoo.co.id ABSTRACT Introduction: The functional outcome, cognitive, and coping were correlated with PSD among stroke survivors after three months onset. Studies comparing cognitive, functional outcome and coping between ischemic survivors after three months onset who are experiencing PSD and who are not were not well established. This study aimed to compare the functional outcome, cognitive, and coping between PSD and Non-PSD in Stroke Ischemic Survivor after three months onset and to demonstrate Odd Ratio Methods: It was cross sectional study, which was conducted in outpatient services. The questionnaires were GRID-HAMD 17 for measuring PSD, Mini Mental Status Examination (MMSE), Barthel-Index (BI) and Medical Coping Modes Questionnaire (MCMQ). Statistical analysis was Mann-Whitney U was used to analysis the total score and crosstab was used to demonstrate the odd ratio. The ethical approval was obtained from faculty and hospital ethics committee. Results: We involved 77 stroke ischemic survivors after three months onset. The prevalence of PSD was 58.5. The MMSE (z=-2.37, p=.001), BI (z=-2.39, p=.016), coping confrontation (z=- 2.583, p=.01) and coping acceptance resignation (z=-3.115, p=.002) in PSD and Non-PSD groups were significantly different. Meanwhile, coping avoidance (z=-1.385, p=.165) was not significance. Stroke ischemic survivor with MMSE <27 (p=.19, OR=3.279, 95%CI 1.061 - 10.135), BI ≤60(p=.014, OR=5.333, 95%CI 1.402 – 20.292), high score coping confrontation (p=.17, OR=.3.536 95%CI 1.352 – 9.247) and low score coping acceptance resignation score (p=.006, OR=5.165 95% CI 1.687 – 15.815) was risk for experiencing of PSD. Meanwhile coping avoidance (p=.326, OR=1.759, 95%CI, .704 – 4.384) was not. Conclusion: This study has provided good estimates for the exposure rate of cognitive, functional outcome and coping among stroke ischemic survivors after three months onset with PSD. This study suggests important initial insights for complex nursing interventions.