Chen J, Li Y, Liu J, Zhang Y, Zeng Y, Chen M, Ding W, Lu Z, Xu H, Li J. Symptom clusters of early-stage poststroke depression: A mixed-methods study.
Nurs Open 2021;
8:2488-2497. [PMID:
33471441 PMCID:
PMC8363377 DOI:
10.1002/nop2.772]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 11/20/2020] [Accepted: 12/17/2020] [Indexed: 12/15/2022] Open
Abstract
Aim
To identify the symptom clusters of early‐stage poststroke depression (PSD) and provide an in‐depth understanding of the symptoms.
Design
A mixed‐methods study with a convenient sampling method was used.
Methods
A cross‐sectional questionnaire survey in 231 stroke patients and semi‐structured interviews in 14 stroke patients were conducted in the neurological department of a comprehensive hospital in Southeast China. Data from the questionnaire survey were analysed through descriptive and exploratory factor analyses; data from the semi‐structured interview were transcribed verbatim and analysed through inductive content analysis. This study adheres to the GRAMMS checklist.
Results
Exploratory factor analysis revealed six symptom clusters of early‐stage PSD that accounted for an ideal variance in PSD: nervous, wakefulness, emotional, dull, guilt and low mood. Further, inductive content analysis revealed five themes that were like the above symptom clusters, except for the dull symptom cluster.
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