老年脑卒中偏瘫患者康复期抑郁情绪及生活质量的相关因素

发布时间：2018-03-04 06:15

本文选题：脑卒中偏瘫　切入点：抑郁　出处：《中国老年学杂志》2016年17期 　论文类型：期刊论文

【摘要】：目的探讨老年脑卒中偏瘫患者康复期抑郁情绪、生活质量及其相关影响因素。方法选择脑卒中偏瘫患者84例,采用问卷调查方式调查患者社会人口学特征、社会支持、脑卒中专用生活质量(SS-QOL)及汉密顿抑郁量表(HAMD)情况,采用多重线性回归分析患者抑郁情绪、生活质量的影响因素。结果 84例脑卒中患者中29例(34.52%)无抑郁、15例(17.86%)轻度抑郁、28例(33.33%)中度抑郁、12例(14.29%)为重度抑郁;所有患者的生活质量SS-QOL评分为(108.37±28.31)分,其中无抑郁组患者SS-QOL评分为(133.28±13.82)分,高于抑郁组患者的(93.23±25.34)分(P0.05);患者抑郁得分与社会支持、生活质量SS-QOL评分存在负相关(r=-0.432,-0.532;P0.05),患者生活质量SS-QOL评分与社会支持评分存在正相关(r=0.513,P0.05)。多因素分析显示,月收入低、自费医疗及社会支持越低是脑卒中患者发生抑郁情绪的危险因素;月收入高、公费医疗、社会支持越高、无抑郁状态是脑卒中患者生活质量的保护因素。结论老年脑卒中偏瘫患者康复期抑郁情绪发生率较高,抑郁患者生活质量较低,社会支持、经济因素是影响患者抑郁及生活质量的重要因素。
[Abstract]:Objective to investigate the depression, quality of life and its related factors in the elderly patients with hemiplegia during rehabilitation. Methods 84 patients with hemiplegia of stroke were selected, and the social demographic characteristics and social support were investigated by questionnaire. The specific quality of life (QOL) and Hamilton Depression scale (Hamd) were analyzed by multiple linear regression analysis. Results among 84 patients with stroke, 29 (34.52) had no depression and 15 had no depression (17.86) mild depression was found in 28 (33.33) and 12 (14.29)) were severe depression, and the SS-QOL score of quality of life in all patients was 108.37 卤28.31). The SS-QOL score of non-depression group was 133.28 卤13.82, which was higher than that of depression group (93.23 卤25.34) (P 0.05). There was a negative correlation between quality of life (SS-QOL) score and quality of life (SS-QOL) score. There was a positive correlation between SS-QOL score and social support score. Multivariate analysis showed that low monthly income, lower self-funded medical treatment and lower social support were the risk factors for depression in stroke patients. The higher the monthly income, the higher the public medical treatment and the higher the social support, the more the non-depressive state is the protective factor for the quality of life of the stroke patients. Conclusion the incidence of depression in the elderly patients with hemiplegia during rehabilitation period is higher, and the quality of life of the patients with depression is lower than that of the elderly patients with hemiplegia. Social support and economic factors are important factors affecting depression and quality of life.
【作者单位】：武汉市武昌医院外2科;
【基金】：2015~2016年度湖北省卫生计生西医类一般项目(No.WJ2015MB250)
【分类号】：R743.3;R49

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