Correlation between sedentary behavior and depression in middle-aged and elderly stroke patients with Broca aphasia
SONG Kai-lin1, GUO Xiao-ming1, AN Hong-hong1, MA Ying-hui1, DILIHUMA Aishan1, PENG Qiao-jun2
1. School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang 830011, China; 2. The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China
Abstract：Objective To explore the correlation between sedentary behavior time and post-stroke depression (PSD) risk in middle-aged and elderly stroke patients with Broca aphasia (BA). Methods Convenient sampling method was used to select 112 middle-aged and elderly stroke patients with BA hospitalized in rehabilitation department and neurology department of a grade-A tertiary hospital in Xinjiang from January 2021 to May 2022. General information questionnaire, Stroke Aphasia Depression Questionnaire and sedentary behavior assessment were employed to investigate the subjects. Pearson correlation analysis and logistic regression model were applied to analysis of the relationship between sedentary behavior time and the risk of PSD. Results The 112 stroke patients with BA had sedentary behavior time of (6.57±2.09) h/d, and 66 (58.9%) patients had sedentary behavior time of ≥ 5 h/d. The SADQ score was (20.72±4.35), and the incidence rate of PSD was 44.6%. Univariate analysis showed that gender, age, occupational status, marital status, monthly personal income, residence style, accompanying with chronic diseases, score of Boston Diagnostic Aphasia Examination (BDAE), score of National Institutes of Health Stroke Scale (NIHSS), and sedentary behavior time were correlated with PSD (all P<0.05). The results of correlation analysis displayed that the sedentary behavior time was positively correlated with the total score of SADQ (r=0.450, P<0.05). The results of multivariate logistic regression analysis revealed that the sedentary group (OR=1.527, 95%CI:1.168-1.995) was associated with the risk of PSD, and no significant change was found in the results after controlling for the confounding factors. Conclusion The sedentary behavior time of the middle-aged and elderly stroke patients with BA is positively correlated with the risk of PSD. Medical staff should pay special attention to health education about reducing the sedentary behavior time of middle-aged and elderly stroke patients with BA, and encourage the patients to increase social interaction so as to reduce the occurrence and development of PSD.
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2023, Vol. 30 
