卒中后失语患者抑郁情绪调查分析  

Investigation and analysis of depression in patients with aphasia after stroke

作　　者：陈伟[1] 王安黎 郭大芬[1] 雷丹[1] 张国艺[1] 余琳[1] 

机构地区：[1]遵义医学院附属医院脑血管病科,贵州遵义563003

出　　处：《现代医药卫生》2016年第16期2465-2466,共2页Journal of Modern Medicine & Health

基　　金：贵州省卫生厅科学技术基金资助项目(gzwkj2013-1-062)

摘　　要：目的调查卒中后患失语症患者的抑郁情况,分析卒中后失语患者抑郁情绪相关因素,为脑卒中失语患者的心理康复提供依据。方法选取2015年6~12月遵义医学院附属医院脑血管科收治的30例脑卒中失语症患者作为研究对象。应用医院版卒中后失语患者抑郁问卷（SADQ·H）中文修订版进行问卷调查。结果本研究共发放SADQ·H调查问卷30份,回收有效问卷30份。脑卒中失语患者中无抑郁者7例[23.3%（7/30）],有抑郁者23例[76.7%（23/30）],其中轻度抑郁1例[3.3%（1/30）],中度抑郁3例[10.0%（3/30）],重度抑郁19例[63.3%（19/30）];≥60岁及小学文化程度患者中重度抑郁发生率最高,分别为76.2%（16/21）和77.3%（17/22）。结论卒中后失语患者发生重度抑郁者居多,且与患者年龄和文化程度有关,应加强卒中后失语患者的个体化康复管理和心理护理,加强健康教育,提高卒中失语患者的康复信心和康复技能。Objective To investigate the depression situation in the patients with aphasia after stroke,and to analyze the depression related factors in the stoke patients with aphasia to provide the basis for their psychological rehabilitation. Methods Thirty stroke patients with aphasia in the neurology department of our hospital from June to December 2015 were selected as the research subjects. The Stroke Aphasic Depression Questionnaire Hospital Version（SADQ-H）was applied to conduct the questionnaire survey. Results Thirty SADQ-H questionnaires were issued and valid 30 questionnaires were recovered. Among the stroke patients with aphasia,7 cases[23.3%（7/30）] had no depression symptoms and 23 cases[76.7%（23/30）] had depression,in which1 case[3.3%（1/30）] was mild depression,3 cases[10.0%（3/30）] were moderate depression and 19 cases [63.3%（19/30）] were severe depression;among the patients aged ≥60 years old and with primary school cultural level,the occurrence rate of middle to severe depression was highest,which was 76.2%（16/21） and 77.3%（17/22）respectively. Conclusion Majority of the patients with aphasia after stroke have depression,which is related with the age and cultural level. The individualized rehabilitation management and psychological nursing in the stroke patients with aphasia should be strengthened. The health education should be strengthened to increase the rehabilitation confidence and rehabilitation skills in stroke patients with aphasia.

关 键 词：卒中 失语 抑郁 年龄因素 心理疗法 康复 

分 类 号：R47[医药卫生—护理学]