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脑卒中患者的情绪调节方式和抑郁相关因素分析

发布时间:2018-05-23 20:42

  本文选题:卒中后抑郁 + 情绪调节 ; 参考:《中国康复医学杂志》2017年08期


【摘要】:目的:研究脑卒中患者的情绪调节方式及脑卒中后抑郁症状的主要相关因素。方法:选取住院脑卒中恢复期患者155例,采取集体实施问卷调查的方式,获取有效问卷124例。用抑郁自评量表来评估卒中后抑郁症状,用Gross情绪调节问卷(ERQ,包括认知重评和表达抑制两个分量表)来评估卒中患者认知重评和表达抑制的使用情况;用沉思量表(RRS)来测量卒中患者沉思策略的使用情况;采用Pearson相关分析计算抑郁量表分和不同情绪调节策略得分之间的相关系数;并用logistic回归分析对卒中患者抑郁症状的主要相关因素进行分析。结果:41例脑卒中患者有抑郁症状。抑郁量表总分与ERQ的认知重评得分呈负相关(r=-0.23,P=0.01),与ERQ的表达抑制得分无相关(r=0.02,P=0.05),与RRS总分呈正相关(r=0.60,P=0.00)。回归分析表明,照料者为家属(OR=0.54,P=0.034)、认知重评分量表得分高(OR=0.36,P=0.005)和NIHSS得分低(OR=1.21,P=0.002)的已婚脑卒中患者SDS总分较低,而年龄较大(OR=1.04,P=0.019)、照料者为护工(OR=1.18,P=0.042)、离异/丧偶(OR=1.22,P=0.034)和RRS总分较高(OR=1.53,P=0.001)的脑卒中患者SDS总分较高。结论:年龄较大、照料者为护工、离异/丧偶、越多使用沉思策略和越少使用认知重评策略的脑卒中患者,发生抑郁的风险越大。
[Abstract]:Objective: to study the mood regulation and the main related factors of depression after stroke in patients with cerebral apoplexy. Methods: 155 inpatients with stroke in convalescent stage were selected and 124 effective questionnaires were obtained by means of collective questionnaire. Depression self-rating scale was used to evaluate post-stroke depression symptoms, and Gross emotion regulation questionnaire (Gross) was used to evaluate the use of cognitive reassessment and expression inhibition in stroke patients. Pearson correlation analysis was used to calculate the correlation coefficient between depression scale and different emotion regulation strategies. The main related factors of depression in stroke patients were analyzed by logistic regression analysis. Results 41 stroke patients had depressive symptoms. There was a negative correlation between the total score of depression scale and the score of cognitive reassessment of ERQ. There was no correlation between the total score of depression scale and the score of ERQ expression inhibition. There was a positive correlation between the total score of depression scale and the total score of RRS. The regression analysis showed that the total SDS score of married stroke patients with lower NIHSS score was lower than that of married stroke patients with lower NIHSS score (0.36) and 0.36% (P < 0.005) and 0.54% (P < 0.034) and 0.36% (P < 0.005) respectively, and the total SDS score of married stroke patients was lower than that of married stroke patients (P < 0.05). The total SDS score of stroke patients with higher RRS score was higher than that of the older ones (OR1. 04 P 0. 019, care worker 1. 18 / P 0. 042, divorced / widowed OR1. 22 P0. 034) and RRS with a higher total score of 1. 53% P0. 001 (P < 0. 001). Conclusion: the older the carer is, the higher the risk of depression is in the stroke patients who use more meditation strategies and less cognitive reappraisal strategies.
【作者单位】: 浙江省人民医院(杭州医学院附属人民医院)康复科;
【基金】:浙江省医药卫生计划一般项目(2015126322) 浙江省医学重点(创新)学科资助项目
【分类号】:R743.3


本文编号:1926288

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