血管性痴呆患者家庭功能与不良情绪关系的探讨  

The investigation of relationship between family function and unhealthy mood in patients with vascular dementia

作　　者：郑立学[1] 李怡[1] 高鹏[1] 韩恩吉[1] 

机构地区：[1]250012济南,山东大学齐鲁医院神经内科

出　　处：《中国实用护理杂志》2014年第4期54-56,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨血管性痴呆（VD）患者家庭功能与不良情绪的相关性.方法 采用家庭关怀度指数问卷（APGAR）、汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）与简易精神状态检查量表（MMSE）,对120例血管性痴呆患者进行测评,分析其家庭功能与不良情绪的相关性.结果 98例占81.7％的患者抑郁伴发焦虑,家庭功能障碍有100例占83.3％,轻度认知障碍占55.8％,中度占44.2％.HAMD、HAMA与MMSE、APGAR总分及因子分显著负相关,MMSE与APGAR总分及因子分显著正相关.家庭功能程度、经济负担与认知障碍程度是患者不良情绪形成的危险因子（OR＞1）.结论 改善患者的家庭功能,减轻经济负担,提高认知功能,在一定程度上能够预防和减轻患者的不良情绪.Objective To investigate the relationship between family function and unhealthy mood in patients with vascular dementia （VD）.Methods 120 VD patients were investigated by the Family APGAR index （APGAR）,Hamilton Depression Scale （HAMD）,Hamilton Anxiety Scale （HAMA）,and Mini-Mental State Examination （MMSE）.Results 98 cases （81.7％） were in depression with anxiety.Family dysfunction was presented in 83.3％ of 120 VD patients.The mild and moderate cognitive impairment were present in 55.8％ and 44.2％.The score of MMSE,the total score and factors scores of APGA were negatively related to the score of HAMD and HAMA.The score of MMSE was positively related to the total score and factors scores of APGA.The family dysfunction,self-reported financial burden and cognitive disorder were the risk factors of unhealthy mood （OR＞1）.Conclusions The results suggest that improvement of VD patients＇ family function,reducing the economic burden and enhancing cognitive function can possibly relieve the unhealthy mood of patients.

关 键 词：血管性痴呆 家庭功能 不良情绪 

分 类 号：R473.2[医药卫生—护理学]