Depression among the post stroke patients in the Tertiary hospital and Rehabilitation centre of Bangladesh

Authors

1. Salahuddin Mohammad
   Directorate General of Health Services, Dhaka, Bangladesh
2. Shabnam Mostari
   A2i Innovation Lab, Access to Information (A2i) Programme, Dhaka, Bangladesh
3. Nandeeta Samad
   Lecturer, Department of Public Health, North South University ,Dhaka, Bangladesh
4. Russell Kabir
   Anglia Ruskin University

Abstract

A cross sectional study was carried out to see the magnitude of depression as public health problem among purposively selected 291 stroke patients attending for physiotherapy at outpatient department of Physical Medicine Department of Dhaka Medical College Hospital and Center for the Rehabilitation of the Paralyzed, Dhaka. Data were collected through face to face interview using a pretested questionnaire and document review. Depressive symptoms were measured using the Hamilton Depression Rating scale at cut-off value 10 for mild, 14 for moderate and 18 for severe depression. The proportion of depression among the study population was 65% which included 30% with severe depression and rest 17% mild, 18% moderate depression and 35% had no depression. People with ischaemic stroke were more depressed (75.9%) than other types of stroke (p<0.00l). With the duration of stroke both the proportion and level of depression had been increased (p<0.00l. Most of the respondents from low income group were suffering from some level of depression (p<0.05). Both diabetes mellitus (p<0.00l) and hypertension (p<0.005) had significant role in depressive state. This study identified depression among stroke patients as a significant public health problem. Therefore, while planning therapeutic approaches for stroke patients, depression always should be taken into consideration for effective management and improvement of the compliance.

Keywords

Depression; Stroke; Rehabilitation; Tertiary hospital; Bangladesh

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