首发脑卒中患者出院后一周的心理状态与社会参与的相关性分析  

A study on correlation between mental health status and social participation among first-stroke patients

作　　者：贺亚楠[1,2] 周嫣[3] 周兰姝[2] 

机构地区：[1]同济大学附属东方医院 [2]第二军医大学护理学院,上海市200120 [3]同济大学附属东方医院护理部

出　　处：《中国护理管理》2014年第8期868-870,共3页Chinese Nursing Management

基　　金：上海市东方医院朝阳人才计划(DFZY-H3)

摘　　要：目的:调查首发脑卒中患者出院后一周的心理健康状况和社会参与水平,并探讨两者的相关性。方法:采用医院焦虑和抑郁量表(HADS)和自主参与问卷(IPA)对271位首发脑卒中患者进行调查。结果:首发脑卒中患者出院后一周的社会参与总分为(61.14±13.44)分;各条目均分为(2.45±0.54)分。研究对象的焦虑得分为(8.43±4.88)分,阴性为152例,阳性为119例(43.9%);抑郁得分为(8.48±4.79)分,阴性为145例,阳性为126例(46.5%)。研究对象的心理状况得分与社会参与得分成正相关(P<0.01)。结论:心理状况和社会参与密切相关,在康复护理中应关注患者的心理状况,缓解其负性情绪,以改善其社会参与障碍。Objective： to study mental health status and social participation among first-stroke patients discharged from hospital 1 week later, and to analyze their correlation. Methods： Totally 271 first-stroke patients who were discharged from hospital 1 week later were investigated with HADS and IPA. Results： When discharged from hospital 1 week later, IPA score of first-stroke patients was 61.14±13.44, the average score of each item was 2.45±0.54. The score of HAD-A was 8.43±4.88, and the incidence of anxiety was 43.9%. The score of HAD-D was 8.48±4.79, and the incidence of anxiety was 46.5%. HAD score and IPA score were positive correlation（P〈0.01）. Conclusion： Social participation and mental health status are closely related. Nursing managers should pay attention to patients＇ mental health, ease the negative emotion, and improve the social participation.

关 键 词：脑卒中 心理健康状况 社会参与 

分 类 号：R47[医药卫生—护理学]