脑卒中患者抑郁症状的影响因素分析

发布时间：2019-01-03 12:53

【摘要】：目的：卒中后抑郁（PSD）在脑血管疾病当中的发生比较常见，它不仅加重患者及其家属的精神痛苦，还使卒中患者的神经功能恢复减缓，增加患者的住院天数，，使其生活质量下降，给患者的家庭及社会带来沉重的负担。近几年来PSD越来越受到临床医务工作者的重视，对该疾病的相关因素的研究也越来越多。本研究探讨PSD的发生率，并对有可能影响卒中后抑郁症状的发生及其严重程度的相关因素进行研究分析，这些因素包括性别、年龄、受教育程度、经济收入情况、吸烟、饮酒、日常生活能力、应对方式、社会支持和生活质量与满意程度；更进一步探讨这些因素与卒中后抑郁症状的发生及其严重程度的关系。方法：对本研究的207例脑卒中患者使用Zung抑郁自评量表及自制问卷、生活质量与满意程度量表（Q-LES-SF）、日常生活能力量表(ADL)、简易应对方式量表（CSRS）、社会支持量表（SSRS）进行评定。结果：207例患者中有50例出现抑郁症状,其发生率为24.2%。单因素及多因素分析筛选出影响脑卒中后抑郁症状的因素与下列15项有关:社会支持(主观支持、客观支持、支持利用度)、简易应对方式（积极应对、消极应对）、生活质量与满意程度评估（主观满意程度、总的生活满意度）、病前是否吸烟、生活能力总分、受教育程度、居住地等。结论：患者抑郁症状与吸烟、卒中次数、消极应对、日常生活能力呈正相关；与收入、居住地、客观支持、主观支持、主观满意程度、生活满意度呈负相关；影响脑卒中后抑郁症状的因素有:主观满意程度低、农村居住、消极应对。
[Abstract]:Objective: poststroke depression (PSD) is common in cerebrovascular diseases. It not only exacerbates the mental pain of patients and their families, but also slows down the recovery of neurological function of stroke patients and increases the days of hospitalization. Make its quality of life decline, to the patient's family and society brings a heavy burden. In recent years, PSD has been paid more and more attention by clinical medical workers, and more researches have been made on the related factors of the disease. This study explored the incidence of PSD, and analyzed the factors that might affect the occurrence and severity of post-stroke depression, including sex, age, education, income, smoking, alcohol consumption. Ability of daily life, coping style, social support, quality of life and satisfaction; To further explore the relationship between these factors and the occurrence and severity of post-stroke depression. Methods: the self-rating depression scale (Zung) and self-made questionnaire, quality of life and satisfaction scale (Q-LES-SF), activity of daily living scale (ADL), simple coping style scale (CSRS),) were used in 207 stroke patients in this study. Social support scale (SSRS) was evaluated. Results: 50 of 207 patients had depressive symptoms, and the incidence rate was 24.2%. Univariate and multivariate analysis showed that the factors influencing depression symptoms after stroke were related to the following 15 factors: social support (subjective support, objective support, support availability), simple coping style (positive coping, negative coping). Assessment of quality of life and satisfaction (subjective satisfaction, total life satisfaction), smoking before illness, total score of living ability, education level, place of residence, etc. Conclusion: depression was positively correlated with smoking, stroke frequency, negative coping, daily living ability, and negatively correlated with income, residence, objective support, subjective satisfaction and life satisfaction. The factors influencing depression after stroke are: low degree of subjective satisfaction, living in rural areas, and negative coping.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.4

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