文章摘要
周洁,曾德志,王兵华.脑卒中首发患者康复期抑郁状况的调查分析[J].中国康复,2012,27(3):174-176
脑卒中首发患者康复期抑郁状况的调查分析
Survey on depression state of the first-onset patients with stroke in convalescent stage
  
DOI:
中文关键词: 脑卒中  抑郁  因素分析
英文关键词: stroke  depression  factors analysis
基金项目:
作者单位
周洁 咸宁市中心医院湖北 咸宁 437100 
曾德志 咸宁学院附属第二医院湖北 咸宁 437100 
王兵华 咸宁学院附属第二医院湖北 咸宁 437100 
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中文摘要:
  目的:对脑卒中首发患者康复期抑郁及其相关因素进行探讨,为进一步干预积累临床资料。方法:对100例首发脑卒中康复期患者,采用一般情况调查问卷进行调查,用抑郁自评量表(SDS)、日常生活能力量表(ADL)和社会支持量表(SSRS)进行测评,比较分析患者一般资料、SSRS和ADL评分与SDS评分的关系。结果:本组患者SDS评分显著高于国内常模(t=8.486,P=0.000),SDS评分阳性率为44%。单因素分析显示,SDS评分与患者婚姻状况、户籍、职业性质、经济状况、疾病类型和ADL、SSRS评分有明显关联(P<0.01,0.05),但与患者性别、年龄、文化程度、付费类别、疾病严重程度和病程无明显关联;多元回归分析,仅日常生活能力、社会支持和职业性质3个因子进入逐步回归方程:y=36.906+6.544x1+4.483x2-2.719x3(F=153.986,P=0.000),并能预测SDS评分变异的82.3%。结论:脑卒中首发患者康复期抑郁的发生率较高,日常生活能力有障碍、社会支持较差、脑力劳动患者更易发生抑郁。临床工作中,要注意这些因素的影响,给予切实有效的干预,促进患者早日康复。
英文摘要:
  Objective:To explore the depression condition and related factors of first-onset patients with stroke in convalescent stage,and to accumulate clinical data for further intervention. Methods: 100 first-onset stroke patients in convalescent stage were investigated with a questionnaire on general condition and were evaluated with the Self-Rating Depression(SDS), the Activity of Daily Living Scale(ADL) and the Social Support Rating Scale(SSRS). The relationship between the scores of SDS and the general data ,the scores of ADL,SSRS of the patients were compared and analyzed. Results:The scores of SDS in the group were significantly higher than those of the Chinese norm (t=8.486,P=0.000). The positive rate of SDS was 44%. The score of SDS was significantly related to the patients'marital status, household,profession character, economy state, type of illness, the scores of ADL and SSRS(P<0.01,0.05),but not significantly related to sex, age, degree of education, type of payment, severity of diseases,and course of the disease. In multiple regression analysis,only the scores of ADL and SSRS and profession character entered into the regression equation: y=36.906+6.544x1+4.483x2-2.719x3(F=153.986,P=0.000).It could forecast 82.3% of scores variation of SDS. Conclusion:The rate of depression is rather high among the first-onse patients with stroke in convalescent stage.The depression happens likely and it is much more serious among the patients with a poor activity of daily living and social support or brain-workers were inclined to depression.In the clinical practice, more attention should be paid to these factors in order to give feasible intervention to help the patients recover earlier.
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