脑梗死后双眼复视患者焦虑相关因素  

The Relevant Factors of Anxiety State of Binocular Diplopia Patients after Cerebral Infarction

作　　者：李秀霞[1] 张文秋[1] 刘云冬[1] 张万壮[2] 张淑芳[3] 张瑞凤[4] 张江[1] 安雅臣[1] 安艳秋[1] 

机构地区：[1]河北联合大学附属医院神经内科 [2]河北联合大学附属医院介入医学科 [3]河北联合大学附属医院血液净化科 [4]河北联合大学附属医院感染性疾病科

出　　处：《中国健康心理学杂志》2013年第10期1477-1478,共2页China Journal of Health Psychology

摘　　要：目的分析影响脑梗死后双眼复视患者产生焦虑的相关因素，为医护进行心理干预提供依据。方法采用Zung焦虑自评量表（SAS）对66例脑梗死后双眼复视患者进行测评，筛选出焦虑标准分≥50分进行自制焦虑相关因素分析表问卷调查。结果66例脑梗死后双眼复视患者中焦虑自评量表评分≥50分者56例，焦虑发生率为84．85％。性别方面，女性患者焦虑发生率（96．77％）高于男性患者（74．29％），差异有统计学意义（χ2=4．836，P〈0．05）；年龄方面，40～45岁患者焦虑发生率（96．55％）明显高于≥56岁患者（75．68％），差异有统计学意义（χ2=4．007，P〈0．05）；家庭居住情况方面，与配偶居住患者焦虑发生率为71．43％，与子女居住者，焦虑发生率为94．12％，独居患者焦虑发生率为95．24％，差异有统计学意义（χ2=6．993，P〈O．05）；文化程度方面，3个文化程度组患者焦虑发生率无明显差异（χ2=0．723，P〉0．05）。自制焦虑相关因素分析问卷调查中，焦虑影响因素出现例数较高的有家庭角色功能、社会角色功能、医疗费用、增加家庭负担，其发生率分别为82．14％、75．00％、75．00％、71．43％。结论老年脑梗死后双眼复视患者焦虑发生与性别、年龄、居住情况、费用负担、角色功能的发挥关系密切。Objective To provide the basis for the medical care to do mental intervention by analyzing the relevant factors which have influence on the anxiety state of binocular diplopia patients after cerebral infarction. Methods A total of 66 binocular diplopia patients after cerebral infarction were appraised with SAS,then chose patients whose standard scores were higher than fifty to ana- lyze the relevant factors through doing questionnaire survey. Results Among the sixty--six patients,there were fifty-seven cases ,who had got the score higher than fifty. The anxiety incidence rate was 84. 85 %. In the respect of gender ,the anxiety incidence rate of female was 96.77 % ,which was higher than that of male （74.29 % ）（χ2= 4. 836,P〈0. 05）. In the respect of age,the anxiety in- cidence rate of patients who were from forty to forty-five was 96.55 % ,which was significantly higher than the rate of patients who were older than fifty-six （75.68 % ）,the difference had statistically significance （χ2= 4. 007 ,P〈0.05）. In the respect of living condi- tion,the anxiety incidence rate of patients who were living with spouse was 71.43%. The anxiety incidence rate of patients who were living with their children was 94.12%. The anxiety incidence rate of patients who were living alone was 95.24% ,the differ- ence had statistically significance （χ2= 6. 993,P〈0.05）. In the respect of education background,the anxiety incidence rates of the three educational levels were no significant difference（χ2= 0. 723,P〉0.05）. In the questionnaire survey,there were several rele- vant factors which had great influence on the anxiety state. They were family role function, social role function,medical cost and family burden. The incidence rates were 82.14% ,75.00%, 75.00% and 71.43% respectively. Conclusion The incidence rate of binocular diplopia patients after cerebral infarction has a close relation with their age,living condition,cost burden and roles func- tion.

关 键 词：脑梗死 双眼复视 焦虑 相关因素 

分 类 号：R512.62[医药卫生—内科学]