社会心理因素对脑卒中复发的影响作用分析  

Impact of Social Psychological Factors on the Recurrence of Stroke

作　　者：吴静[1] 汪培山[1] 徐卫历[1] 田桂玲[2] 刘东[3] 

机构地区：[1]天津医科大学公卫学院流行病学研究室,天津300070 [2]天津医科大学总医院 [3]天津市卫生局

出　　处：《包头医学院学报》2005年第2期117-119,共3页Journal of Baotou Medical College

摘　　要：目的:探讨社会心理因素对脑卒中患者复发的影响。方法:对脑卒中新发病例进行随访研究,应用t检验和χ2 检验进行描述、LIFE-TABLE法和Kaplan-Meier法进行生存分析,并利用COX比例风险模型进行影响因素分析。结果:脑卒中存活患者中复发55例,总复发率为29. 1%,因复发死亡32例。COX模型分析结果显示,本人信心、工作学习应激事件、不幸生活事件、亲友关心程度、家庭经济状况等对于脑卒中患者复发的作用具有统计学意义。结论:社会心理因素是影响脑卒中患者复发的重要因素,应引起高度重视。Objective: To investigate the impact of social psychological factors on the recurrence of stroke. Methods: A follow-up study was carried out. Student t-test and Chi-square were used for descriptive analyses. LIFE-TABLEand Kaplan-Meiermethods were used for survival analyses. COXregression was used for factor analyses. Results: At the end of follow-up, 55patients had recurrence and the recurrence rate was 29.1%.32 patients died of stroke recurrence. COXregression showed that the important factors associated with stroke recurrence included: self-confidence, stimulating incident, adversity in life, concern of relatives and social economic status, etc. Conclusion: Social psychological factors played important roles in the stroke recurrence and should be paid more attention to.

关 键 词：脑卒中 复发 社会心理因素 

分 类 号：R743[医药卫生—神经病学与精神病学]