老年脑梗塞患者主观幸福感与认知功能研究  

Study of subjective well-being and cognitive function in elderly patients with cerebral infarction

作　　者：李敏[1] 丁雨[2] 黄智玉[3] 

机构地区：[1]重庆第三军医大学基础医学部社会医学教研室,重庆400038 [2]重庆第三军医大学西南医院神经内科 [3]重庆第三军医大学大坪医院神经内科

出　　处：《中国行为医学科学》2002年第2期136-137,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的　探讨老年脑梗塞患者的主观幸福感及认知功能状况。方法　用纽芬兰纪念大学幸福度量表 (MUNSH)、龚氏修订的韦氏成人智力量表、韦氏临床记忆量表分别对经CT或MRI证实的 6 0例老年脑梗塞患者的主观幸福感及认知功能进行评定 ,并与正常老年对照组进行比较。结果　老年脑梗塞患者的MUNSH总分、正性因子分显著低于正常老年人 ,而负性因子分显著高于正常老年人 ;韦氏智力测验语言智商 (VIQ)、操作智商 (PIQ)及总智商 (FIQ)、记忆商 (MQ)均低于正常对照组 ,具有显著或非常显著性差异 ;多部位梗塞的患者其智商、记忆商均显著低于单一部位梗塞的患者。左侧病变者主观幸福感低于右侧病变者 ,多灶梗塞者幸福感低于单灶梗塞者。结论　老年脑梗塞患者的主观幸福感及认知功能均有不同程度的降低 。Objective To study the subjective well being and cognitive function in elderly patients with cerebral infarction. Method 60 elderly patients with cerebral infarction(proved by CT or MRI) were sampled by group . Subjective well being was indexed by positive factor,negative factor,total score of MUNSH(Memorial University of Newfoundland Scale of Happiness). Cognitive function were investigated by the Wechsler Adult Intelligence Scale and Wechsler Adult clinical memory Scale. Results Compared with contral group, patients with cerebral infarction have significant lower MUNSH total score, positive factor score and cognitive function and higher negative factor score of MUNSH; Patients with multiple cerebral infarction have even lower intellectual quotient and memorial quotient; Patients with left cerebral infarction have even lower subjective well being. Conclusion Elderly patients with cerebral infarction have lower subjective well being and cognitive function ,and the position and amount of cerebral infarction have effect on subjective well being and cognitive function.

关 键 词：脑梗塞 主观幸福感 认知障碍 老年人 

分 类 号：R395.1[哲学宗教—心理学]