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| Influencing factors for anxiety and depression in patients with dysphagia after stroke |
| LOU Wei-min*, GE Li-jing, LI Hai-long, QIU Jia
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| * Department of Rehabilitation Medicine,Zhejiang Hospital,Hangzhou,Zhejiang 310013,China |
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Abstract Objective To investigate the influencing factors for depression and anxiety in patients with dysphagia after stroke. Methods From May 2017 to June 2018,patients with post-stroke dysphagia in the Department of Rehabilitation Medicine of Zhejiang Hospital were recruited to collect their height,weight,education level,serum nutritional indicators and feeding patterns. Self-Rating Anxiety Scale and Self-Rating Depression Scale were employed to assess the incidence of anxiety and depression. Multivariate logistic regression model was used to analyze the influencing factors for depression and anxiety. Results Among 96 patients enrolled,43 suffered from anxiety and depression,with the incidence of 44.79%. The results of multivariate logistic regression analysis showed that normal albumin（OR=0.208,95%CI：0.054-0.800）was a protective factor for anxiety,while indwelling gastric tube（OR=5.789,95%CI：1.654-20.260）was a risk factor. Normal transferrin（OR=0.189,95%CI：0.042-0.860）was a protective factor for depression,while indwelling gastric tube（OR=13.977,95%CI：1.472-132.667）was a risk factor. Conclusion Normal albumin and transferrin are the protective factors for anxiety and depression in patients with dysphagia after stroke,and indwelling gastric tube is the risk factor for anxiety or depression.
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Received: 14 January 2019
Revised: 20 February 2019
Published: 13 May 2019
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