神经内科脑卒中住院患者焦虑和抑郁症状及其影响因素研究

发布时间：2018-11-04 20:19

【摘要】：目的：了解神经内科脑卒中患者的焦虑和抑郁症状的发生情况及其分布特点,探讨神经内科脑卒中患者焦虑和抑郁症状的相关影响因素。方法：以2013年6月至2013年12月期间湖南省长沙市中南大学湘雅三医院神经内科的急性脑卒中住院患者为研究对象,采用自行设计的一般情况调查表、焦虑自评量表(SAS)和抑郁自评量表(SDS)对所有符合条件的脑卒中患者进行调查。结果： 1.本次研究共回收有效问卷211份。其中男性和女性分别占55.5%和44.5%；职业以农民和事业单位人员为主,分别占30.3%和27.0%；文化程度为小学及以下、初中、高中／中专、大专及以上的各占26.1%、32.2%、24.6%和12.3%；婚姻状况中已婚的占大多数,达81.0%；经济状况为一般者居多,占45.5%；医保类型为省(市)医保、新农合医保、其他医保、无医保的患者分别占30.3%、32.2%、23.7%和13.8%。 2.在脑卒中类型中,出血性脑卒中和缺血性脑卒中分别占43.6%和56.4%；在脑卒中损伤部位中,左侧大脑损伤、右侧大脑损伤和双侧大脑损伤的患者各占28.4%、28.4%和25.6%；病程为30天、30-180天、180天的患者分别占52.6%、27.5%和19.9%；神经功能缺损程度为轻度、中度、重度的患者分别占46.4%、17.1%和7.1%；有偏瘫的患者占46.4%；住院次数以2-4次的为主,占53.1%。 3.焦虑症状的发生率为24.5%(52/211),其中23例轻度焦虑(10.9%),11例中度焦虑(5.2%),18例重度焦虑(8.5%)；抑郁症状的发生率为20.9%(44/211),24例轻度抑郁(11.4%),11例中度抑郁(5.2%),9例重度抑郁(4.3%)。 4.性别、年龄、经济状况、住院次数是神经内科脑卒中患者焦虑症状发生的影响因素；性别、婚姻状况、医保类型和有无偏瘫是神经内科脑卒中住院患者抑郁症发生的影响因素。结论： 1.神经内科脑卒中患者焦虑症状的发生率为24.5%,其中轻度焦虑(10.9%),中度焦虑(5.2%),重度焦虑(8.5%)；抑郁症状的发生率为20.9%,其中轻度抑郁(11.4%),中度抑郁(5.2%),重度抑郁(4.3%)。 2.性别、年龄、经济状况、住院次数是神经内科急性脑卒中患者焦虑症状发生的影响因素；性别、婚姻状况、医保类型和有无偏瘫是神经内科脑卒中住院患者抑郁症发生的影响因素。
[Abstract]:Objective: to investigate the occurrence and distribution of anxiety and depression in patients with neurologic stroke, and to explore the related factors of anxiety and depression in patients with neurologic stroke. Methods: from June 2013 to December 2013, inpatients with acute stroke in Department of Neurology, Central South University of Changsha, Hunan Province, were selected as subjects, and self-designed general information questionnaire was used. Self-rating anxiety scale (SAS) and self-rating Depression scale (SDS) were used to investigate all eligible stroke patients. Results: 1. A total of 211 valid questionnaires were collected. The proportion of male and female were 55.5% and 44.5% respectively, and the occupation was mainly peasant and institution personnel, accounting for 30.3% and 27.0% respectively. The education level was primary school and below, middle school, high school / technical secondary school, junior high school and above accounted for 26.1% and 12.3% respectively, marriage status accounted for the majority of married, up to 81.0%; The type of medical insurance was provincial (city) medical insurance, new rural cooperative medical insurance, other medical insurance, and the patients without medical insurance accounted for 30.3% and 13.8% respectively. 2. In the type of stroke, hemorrhagic stroke and ischemic stroke accounted for 43.6% and 56.4%, respectively. The patients with left brain injury, right brain injury and bilateral brain injury accounted for 28.4% and 25.6% respectively. The patients with 30 days, 30-180 days and 180 days accounted for 52.6% and 19.9%, respectively, and the patients with mild, moderate and severe neurological impairment accounted for 46.4% and 7.1%, respectively. Patients with hemiplegia accounted for 46.4%, and the number of hospitalizations was mainly 2-4 times, accounting for 53.1 times. 3. The incidence of anxiety symptoms was 24.5% (52 / 211), including 23 mild anxiety (10.9%), 11 moderate anxiety (5.2%) and 18 severe anxiety (8.5%). The incidence of depressive symptoms was 20.9% (44 / 211), 24 mild depression (11.4%), 11 moderate depression (5.2%) and 9 severe depression (4.3%). 4. Sex, age, economic status and times of hospitalization were the influencing factors of anxiety symptoms in patients with neurologic stroke, sex, marital status, type of medical insurance and hemiplegia were the influencing factors of depression in stroke patients in neurology department. Conclusion: 1. The incidence of anxiety in patients with neurologic stroke was 24.5%, including mild anxiety (10.9%), moderate anxiety (5.2%) and severe anxiety (8.5%). The incidence of depressive symptoms was 20.9, including mild depression (11.4%), moderate depression (5.2%) and severe depression (4.3%). 2. Sex, age, economic status and times of hospitalization were the influencing factors of anxiety symptoms in patients with acute stroke in neurology department. Sex, marital status, type of medical insurance and hemiplegia were the influencing factors of depression in inpatients with stroke in neurology department.
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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