脑卒中后抑郁症的发生及相关因素分析  

An Investigative Analysis on Incidence of the Depression and Interrelation Factors

作　　者：姚菊峰[1] 孙静[1] 陈建宗[1] 张继敏[1] 冯文[1] 

机构地区：[1]第四军医大学西京医院中医科,710032

出　　处：《护士进修杂志》1999年第10期26-27,共2页Journal of Nurses Training

摘　　要：应用美国流行病学调查中心的抑郁量表 (CES D)对 5 9例恢复期脑卒中患者进行调查 ,同时分析了抑郁症状与性别、年龄、职业、卒中性质、部位、病程、肢体运动能力及日常生活自理程度的关系。结果显示 :(1)脑卒中恢复期 5 5 93 %的患者出现抑郁症状 ,其中严重抑郁占 3 7 2 8%。性别、年龄、职业及脑卒中的性质和部位与抑郁症状的发生无显著性关系。 (2 )抑郁症状发生的高峰期在发病后 3～ 6个月之间。 (3 )抑郁症状与患者肢体能力水平呈显著负相关。 (4)患者生活自理水平越低 ,抑郁症状越重。Using the Depression Scale(CES D) formulated by the Center of Epidemiological Survey of USA, we inverstigated the recovery in 55 stroke patents, and analysed the relations between depression and sex, ages, job, the nature and sites of the strokes, the duration of disease, extremity ability, and ADL. The results were as follows:①The incidence of depression was 55.93% in stroke patients during their recorevry. and serions depression accounted for 37.28%. No significant difference was found between sex, age, job, and depression symptoms.②The peak depression occured 3～6 months after the stoke.③There was a marked negative correlation between depression and extremity ability.④The lower the ADL record is, the worse the depression symptoms are serions.

关 键 词：脑卒中 抑郁症状 CES-D 护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]