title: Depression in older residents with stroke living in long-term care facilities.
abstract: BACKGROUND
  Stroke is the third leading cause of death in Taiwan. Poststroke older adults are often admitted to long-term care facilities. The impacts of the two concurrent life events of stroke and relocation may increase the risk of depression in stroke survivors. Depression in elderly stroke survivor residents of long-term care facilities has not been studied.
  
  
  OBJECTIVE
  This study explores the factors associated with depression in older residents with stroke living in long-term care facilities.
  
  
  METHODS
  A cross-sectional design was used. Twenty-three institutions in southern Taiwan participated in this study, including seven nursing homes, 11 intermediate-care facilities, and five domiciliary-care facilities. Purposive sampling enrolled 111 participants who met the following inclusion criteria: 65 years or older, experienced a stroke that did not cause cognitive defects, and capable of verbal communication. Data were collected using a sociodemographic data questionnaire, Barthel's Index, and the Taiwan Geriatric Depression Scale.
  
  
  RESULTS
  Depression was experienced by 41 of the 111 participants (36.9%). Prevalence of depression was 45.7% in nursing homes, 36.2% in intermediate-care facilities, and 22.2% in domiciliary-care facilities. Participants living in nursing homes and intermediate-care facilities and illiterate participants with low Barthel's Index scores showed more depressive symptoms.
  
  
  CONCLUSIONS
  Healthcare providers should conduct depression screening for elderly residents with stroke on admission to long-term care facilities. Regular assessment and monitoring of depressive symptoms, especially in residents with less formal education and limited physical functions, are important in nursing homes and intermediate-care facilities.
authors.affiliation: 1PhD, RN, Lecturer, Department of Nursing, Chung Hwa University of Medical Technology 2PhD, RN, Assistant Professor, College of Nursing, Taipei Medical University 3BSN, RN, Psychiatric Center Bali, Ministry of Health and Welfare 4PhD, RN, Associate Professor, National Tainan Junior College of Nursing 5PhD, RN, Associate Professor, Department of Nursing, Chiayi Campus, Chang Gung University of Science and Technology 6PhD, RN, Professor, Institute of Allied Health Sciences and Department of Nursing, College of Medicine, National Cheng Kung University.
authors.forename: Hui-Tzu
authors.initials: HT
authors.lastname: Huang
authors.forename: Yeu-Hui
authors.initials: YH
authors.lastname: Chuang
authors.forename: Yi-Hua
authors.initials: YH
authors.lastname: Hsueh
authors.forename: Pao-Chen
authors.initials: PC
authors.lastname: Lin
authors.forename: Bih-O
authors.initials: BO
authors.lastname: Lee
authors.forename: Ching-Huey
authors.initials: CH
authors.lastname: Chen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D004522:Educational Status; D005260:Female; D005852:Geriatric Psychiatry; D006699:Home Care Services / Q000706:statistics & numerical data; D006801:Humans; D007380:Intermediate Care Facilities / Q000706:statistics & numerical data; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data; D012044:Regression Analysis; D012112:Residential Facilities; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D013624:Taiwan / Q000453:epidemiology