缺血性卒中患者焦虑、抑郁心理状态及其影响因素研究  

Research on anxiety and depression psychological states of ischemic stroke patients and their influential factors

作　　者：董霞[1] 李红[1] 程文蕾[1] 

机构地区：[1]广东省深圳市第二人民医院神经内科,深圳市518035

出　　处：《护理实践与研究》2017年第15期5-7,共3页Nursing Practice and Research

基　　金：深圳市科技创新委员会科技计划项目资助课题(JCYJ20140414170821253)

摘　　要：目的:探讨缺血性卒中患者焦虑抑郁心理状态及其影响因素。方法:选取2015年6月~2016年12月本院收治的95例缺血性卒中患者为观察组,同时期的95名同龄体检健康者为对照组,比较两组人群的Zung焦虑、抑郁自评量表评分,然后比较观察组中不同年龄、性别、文化程度、社会支持程度、一般自我效能感、收入情况、居住情况、并发基础疾病情况、病程及CSS评分结果者的Zung焦虑、抑郁评分结果,并采用Logistic回归分析处理上述因素与此类患者焦虑、抑郁心理的关系。结果:观察组的Zung焦虑、抑郁量表评分明显高于对照组(P<0.05),且观察组中不同年龄、性别、文化程度、社会支持程度、一般自我效能感、收入情况、居住情况、并发基础疾病情况、病程及CSS评分结果者的Zung评分差异也有统计学意义,Logistic回归分析处理显示上述因素均与此类患者焦虑、抑郁心理有密切的关系(P<0.05)。结论:缺血性卒中患者焦虑抑郁心理状态较为明显,且其影响因素较多,应根据患者的心理状态影响因素进行针对性干预。Objective： To discuss the anxiety and depression psychological states of ischemic stroke patients and their influential factors. Methods： Selected 95 ischemic stroke patients admitted in our hospital from June 2015 to December 2016 as the observation group,and selected 95 subjects with healthy physical examination of the same age in the same period as the control group,and the Zung anxiety and depression self-rating scores of subjects in the two groups were compared,and then a comparison was made on the Zung anxiety and depression scores of subjects with different ages,genders,education backgrounds,social support decrees,general self-efficacies,incomes,residence conditions,complications of underlying diseases,disease course and CSS scores of subjects in the observation group,and Logistic regression analysis was adopted to analyze and treat the relation of the factors above with the anxiety and depression psychology of such patients. Results： The Zung anxiety and depression rating scores of subjects in the observation group were significantly higher than those of subjects in the control group（ P〈0. 05）,and the difference of Zung scores of subjects with different ages,genders,education backgrounds,social support decrees,general self-efficacies,incomes,residence conditions,complications of underlying diseases,disease course and CSS scores of subjects in the observation group was statistically significant,and the Logistic regression analysis treatment showed that all factors above had a close relation with the anxiety and depression psychology of such patients（ P〈0. 05）. Conclusion： The ischemic stroke patients had significant anxiety and depression psychological states,with more influential factors,and target intervention should be provided according to the influential factors of the patients＇ psychological states.

关 键 词：缺血性卒中 焦虑 抑郁 影响因素 

分 类 号：R473.74[医药卫生—护理学]