Comparison of Post-Stroke Ischemic Depression of Right Hemisphere Lesion with Left Hemisphere Lesion at Dustira Cimahi Hospital
Ainun Nur Kamilah, Yustiani Dikot, Arlisa Wulandari

Medical faculty, Universitas Jenderal Achmad Yani
Jl. Terusan Jend. Sudirman, Cibeber, Kec. Cimahi Sel., Kota Cimahi, Jawa Barat 40531, Indonesia

Abstract

Post-stroke depression is a complication often occurs after stroke and can give a negative impact on the patient^s recovery. Post-stroke depression cause negative impact on the recovery of daily activities of stroke patients, so the effective treatment for stroke patient with depressive symptoms result a marked improvement in the living activities of patients. One theory regarding post-stroke depression states that post-stroke depression results from specific lesions in the brain. Cases of Post-stroke depression are closely related to the location of lesions in the hemisphere of the brain, only a few cases are related to intellectual impairment, the severity of physical impairment, quality of social support, and age. This study aims to compare the incidence of Post- ischemic stroke depression in right hemisphere lesions with left hemisphere lesions in RS Dustira Cimahi. This research is a comparative study with a cross-sectional study approach, with a sample of 40 stroke patients, the samples were taken by consecutive sampling. Data were analyzed and mann-whitney test performed. The results showed that there was a significant difference between the incidence of depression after ischemic stroke in right and left hemisphere lesions (p = 0,000), where the incidence of post-stroke depression was higher in ischemic stroke patients with left hemisphere lesions. These results indicate that stroke patients with left hemisphere lesions have a higher risk of experiencing depression which can cause a negative impact on the recovery of daily activities of stroke patients. This research is expected to be able to encourage depression risk assessment in post-stroke patients so we can give comprehensive treatment.

Keywords: post-stroke depression, depression, hemisphere, ischemic stroke

Topic: Update Emergency Assesment and Management