卒中患者希望水平、焦虑抑郁及社会支持的研究  

Research on Relationships among Hope Level,Anxiety,Depression and Social in Patients with Strok

作　　者：崔静稳 吴爱升 靳宗伟[1] 单和平[1] 刘振凤[1] 

机构地区：[1]衡水市第四人民医院神经内科,河北衡水053000

出　　处：《中国分子心脏病学杂志》2012年第6期329-332,共4页Molecular Cardiology of China

摘　　要：目的探讨卒中患者希望水平的状况及其与焦虑抑郁情绪、社会支持的关系。方法采用Herth希望量表(Herth hope index,HHI)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、及社会支持评定量表(Social Support Revalued,SSAS)对200例卒中患者及200例健康对照者进行测评,并分析卒中患者希望水平、焦虑抑郁及社会支持的状况及其三者之间的关系。结果 (1)卒中组与对照组在希望总均分、焦虑总分、抑郁总分、社会支持总分上比较差异均有统计学意义(P<0.05)。卒中组希望总均分低于对照组(35.09±2.98vs37.26±3.87,P<0.01);卒中组焦虑总分高于对照组(6.37±0.26vs3.43±0.24,P<0.01);卒中组抑郁总分高于对照组(8.67±0.29vs2.35±0.22,P<0.01);卒中组社会支持总分低于对照组(36.16±3.66vs47.11±4.53,P<0.01)。(2)希望总均分与焦虑总分(r=0.43,p<0.001)、抑郁总分(r=-0.41,p<0.001)呈负相关,而与社会支持呈正相关(r=0.42,p<0.001)。结论焦虑抑郁及社会支持是卒中患者希望水平的重要预测因子,焦虑抑郁不利于提高卒中患者的希望水平,而社会支持有利于提高卒中患者的希望水平。Objective To explore hope level, anxiety, depression and social support among stroke patients, and to study the relationship be- tween them. Methods 200 stroke patients and 200 healthy volunteer were examined by Herth Hope Index （HHI）, Hamilton Anxiety Scale （HAMA）, Hamilton Depression Scale （HAMD） and social support rating scale （SSRS） ,and to investigate the relationship between hope level, anxiety, depression and social support in patients with stroke. Results Compared with healthy volunteer, patients with stroke had higher scores of hope lev- el（35.09 ± 2.98 vs 37.26 ± 3.87,P〈0.01）,anxiety（6.37± 0.26 vs 3.43 ± 0.24,P〈0.01）and depression （8.67 ± 0.29 vs 2.35 ± 0.22, P〈0.01 ） , but lower scores of social support （36.16±3.66 vs 47.11 ± 4.53,P〈0.01 ） . There was a significantly negative correlation among the level of hope, anxiety （r=- 0.43,p〈0.001 ） and depression（r=-0.41, p〈0.001） and a significantly positive correlation between the level of hope and social support （r=0.42,p〈0.001）. Conclusions Anxiety, depression and social support were important factors for predicting hope level of stroke patients.

关 键 词：卒中 希望水平 焦虑 抑郁 社会支持 

分 类 号：R743.3[医药卫生—神经病学与精神病学]