Depressive State in Acute Stroke Patients as Perceived by Nurses and the Involvement of Nurses

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  • 看護師が捉えた脳卒中急性期患者の落ち込みと看護師の関わり

Abstract

A qualitative descriptive study was conducted to determine how nurses perceived the state of depression in acute stroke patients, how nurses comprehended the situation, and how nurses involved themselves with the situation. The study participants were seven certified nurses in stroke rehabilitation nursing. The patients perceived by nurses as being in a depressive state were grouped into eight categories. The nurses perceived the situation as lack of energy, confronting the changes in their body, concern about inconveniencing others, and becoming perceived after failed attempts at doing something. Meanwhile nurses’ involvement patterns were summarized into twelve categories. The nurses thought that the patient would be in a depressive state and it was acceptable to be in a depressive state, observed while maintaining distance from the patient, did not force the patient, and helped the patient to continue treatment and rehabilitation. The patients’ state of depression can be used as a point of observation for early detection of changes in patients. The nurses’ involvement is also thought to facilitate the patients’ recovery from their state of depression, and can be used in practice.

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