Testing a model of depression and functional status in stroke survivors.
Depression negatively affects functional status and recovery potential for patients with many chronic diseases and for elderly patients. The purpose of this research was to determine what could be said with confidence regarding the relationships between post-stroke depression, functional status, and...
| Publicado en: | Journal of Theory Construction & Testing Vol. 6; no. 2; pp. 117 - 124 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Tucker Publications, Inc.
Winter2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106880145&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106880145 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10864431 D4Z jtl: Journal of Theory Construction & Testing issn: 10864431 maglogo: N pubinfo: dt: Winter2002 vid: 6 iid: 2 pid: 12675 pub: Tucker Publications, Inc. place: Lisle, Illinois artinfo: ui: 106880145 106880145 2003139364 106880145 ppf: 117 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Testing a model of depression and functional status in stroke survivors. aug: au: Alfred D Beard MT sug: subj: Stroke Complications Depression Functional Status Nursing Models, Theoretical Evaluation Survivors Theory Validation Stroke Epidemiology Stroke Rehabilitation Chi Square Test Clinical Trials Conceptual Framework Confidence Intervals Data Analysis Software Depression Drug Therapy Descriptive Statistics Meta Analysis Models, Theoretical Nonexperimental Studies Pearson's Correlation Coefficient Quantitative Studies Sampling Methods Treatment Outcomes Validation Studies Human ab: Depression negatively affects functional status and recovery potential for patients with many chronic diseases and for elderly patients. The purpose of this research was to determine what could be said with confidence regarding the relationships between post-stroke depression, functional status, and the mediating strategies of physical rehabilitation and pharmacologic treatment. To accomplish this purpose, a model of depression and functional status in stroke survivors was proposed and tested using meta-analytic techniques. Using a derived conceptual model derived f, it was proposed that depression and functional status were related and could be mediated when they operated through the health care system. An extensive review of the stroke research completed after 1989 resulted in the identification of 31 subject-studies that examined depression and functional status in the post-stroke survivors. Twenty-six of the studies were non-experimental and 5 were randomized clinical trials. Meta-analytic methods were used to synthesize the results of the subject-studies. A small to moderate population Effect Size (ES) r of 25 (P = .000, k = 21, N = 2310) with a Binomial Effect Size Display (BESD) of .37 - .63 was found for a homogenous grouping of non- experimental studies examining the relationship between depression and functional status in the post-stroke P population. A moderate to large ESr of .43 (P = .000, k = 5, N = 182), with a BESD of 29 - .71, was found for a homogeneous grouping of experimental studies examining the relationship between depression and functional status in the post-stroke population when mediated by physical rehabilitation and pharmaeologic treatment for depression. Analysis of the derived model, Depression and Functional Status in Stroke Survivors, supports the existence of a statistically and clinical significant relationship between depression and functional status, and pharmaeologie treatment and physical rehabilitation mediate that relationship. The reciprocal interaction between depression and functional status can best be approached through appropriate and timely treatment of both post-stroke manifestations, depression and functional deficit. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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