Author/Editor		Vogrin Hudopisk, Kristina
Title		Depresija pri bolnikih po možganski kapi: ocenjevalne lestvice in vpliv na izid rehabilitacije
Translated title		Poststroke depression eassessment and functional outcome
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 9, št. 2
Publication year		2010
Volume		str. 53-9
Language		slo
Abstract		Poststroke depression (PSD) is the most common sequel in the poststroke population, affecting 18-78% of patients within the first two years. PSD is associated with attention deficits, impaired learning and executive and motor functions, and has been linked to cognitive impairment, poor response to rehabilitation, impaired quality of life and increased mortality. PSD is frequently unrecognised and untreated. Because the consequences of depression can impact patient's ability to actively participate in therapies and lengthen recovery, it is important to address the symptoms early on in the rehabilitation process. The assessment of the poststroke patient can be complicated by cognitive deficits and language deficits. Most of the screening instruments used for assessing depression were not established for patients with cognitive and/or physical impairments. There is not a single universally accepted tool for PSD screening.
Summary		Depresija po možganski kapi (DPK) je najpogostejša nevropsihiatrična posledica pri bolnikih po možganski kapi, ki prizadene od 18 do 78 % le-teh v prvih dveh letih po možganski kapi. DPK pri bolnikih poslabša njihovo zbranost, zmanjša njihove zmožnosti za učenje in kognitivne sposobnosti ter možnost okrevanja na področju gibalnih sposobnosti. Zaradi tega vpliva na slabši funkcijski izid rehabilitacije bolnikov, kakovost njihovega življenja in na večjo je umrljivost. DPK pri bolnikih velikokrat spregledajo in je ne zdravijo. Ker depresija vpliva na bolnikovo aktivno sodelovanje v rehabilitacijskih programih in podaljša njegovo okrevanje, je pomembno, da simptome depresije zgodaj prepoznamo. Ocenjevanje bolnikov z DPK je lahko oteženo zaradi njihovih zmanjšanih kognitivnih sposobnosti in motenj govora. Večine ocenjevalnih lestvic, ki se uporabljajo, niso razvili za bolnike z zmanjšanimi kognitivnimi in/ali telesnimi sposobnostmi. Univerzalne presejalnemetode za DPK ni.