Trầm cảm sau đột quỵ và các yếu tố liên quan ở các bệnh nhân sống sót sau đột quỵ

Post-stroke depression (PSD) represents a significant mental health challenge following a cerebrovascular event, profoundly impacting the recovery trajectory and quality of life of stroke survivors. Globally, its prevalence is substantial, and recent data from Vietnam similarly indicate a considerable burden on the affected population. Understanding the specific associated factors of PSD is crucial for developing targeted and effective interventions. This study aims to assess the prevalence of PSD and identify its associated factors among stroke survivors in Vietnam, thereby contributing valuable insights to enhance post-stroke care strategies.

Medical professionals involved in stroke care (e.g., neurologists, rehabilitation specialists, nurses, psychiatrists), public health researchers, and policymakers focusing on mental health and post-stroke rehabilitation.

This cross-sectional study addresses the critical issue of post-stroke depression (PSD), a common and debilitating complication for stroke survivors, significantly hindering functional recovery and overall quality of life. Conducted across four hospitals in Hanoi, the research involved 185 stroke survivors recruited via convenience sampling from December 2023 to March 2025. Data collection utilized a self-administered questionnaire incorporating the PHQ-9 for depression assessment, the PSQI for evaluating sleep quality, and the Barthel Index for measuring dependency. Statistical analysis was performed using SPSS 22.0. The findings revealed a high prevalence of PSD, affecting 68.1% of participants. While no significant associations were found with demographic or clinical variables, the study identified poor sleep quality (p = 0.00), higher levels of dependency (p = 0.01), and slower functional recovery (p = 0.03) as significantly associated factors with PSD. These results emphasize that PSD is a prevalent concern among Vietnamese stroke survivors, highlighting the urgent need for early detection and integrated psychological support within post-stroke care to improve patient outcomes and quality of life. The study suggests future research should explore longitudinal designs and a wider array of socio-cultural factors influencing PSD.