A RELAÇÃO DA GRAVIDADE DA DEPRESSÃO COM QUALIDADE DE VIDA EM PACIENTES PÓS ACIDENTE VASCULAR ENCEFÁLICO

Abstract

INTRODUCTION: Depressive symptoms often appear in post-stroke sequelae (CVA) morbidity. Changes in emotional state may interfere with quality of life and patient rehabilitation after stroke. OBJECTIVE: To evaluate whether there is a correlation between the severity of depressive symptoms and the quality of life in post AVE patients. METHODOLOGY: We selected 45 patients of both sexes, aged 59.08 ± 10.07 and clinical diagnosis of stroke in the Reference Center in Physical Medicine and Rehabilitation. The individuals who were bedridden with aphasia and those who suffered limb amputations were excluded. The evaluation was performed through Questionnaire SF-36 that evaluates the quality of life and the Hamilton Scale (HAM-D) that evaluates the severity of the symptoms of depression. The statistic was made by descriptive and inferential analysis with significance level p≤0.05, Spearman's non-parametric correlation coefficient was calculated to evaluate the correlation between the variables. RESULTS: In HAM-D the mean total score was 18.86 ± 8.67, which showed that the patients had a moderate degree of depressive symptoms. HAM D correlated significantly with the dimensions of the SF-36 scale (HAM-D / functional capacity R = -0.648 p <0.001; HAM-D / physical aspect R = -0.678 p <0.001; HAM-D / pain The prevalence of HAM-D in patients with HAM-D was similar to that of HAM-D, -D / emotional aspect -0.762 p <0.001; HAM-D / MENTAL HEALTH -0.711 p <0.001). CONCLUSION: It can be concluded that the more severe the depressive symptoms were, the worse the quality of life in all dimensions assessed.