脑卒中患者并发抑郁的相关因素的logistic回归分析及其护理对策  

Logistic regression analysis and nursing strategy on relative factors for complicating depression in cerebral apoplexy patients

作　　者：徐晓艳 于敢红[2] 王涛 邵国娟 XU Xiaoyan YU C anhong WANG Tao et al(Huaian Hospital, Huai＇ an 223200, Chin)

机构地区：[1]江苏省淮安市淮安医院,淮安223200 [2]东南大学附属中大医院神经内科

出　　处：《国际精神病学杂志》2017年第5期897-900,共4页Journal Of International Psychiatry

摘　　要：目的探讨脑卒中患者并发抑郁的相关因素的logistic回归分析及其护理对策。方法选取2011年6月至2016年6月期间我院确诊治疗的脑卒中患者300例,所有患者采用汉密尔顿抑郁量表(HAMD)评估抑郁状态,依据是否并发抑郁分为并发组(125例)和对照组(175例),采用美国国立卫生研究院卒中量表(NIHSS)评估神经功能,采用Barthel指数(BI)评估生活能力,采用单因素分析法分析脑卒中患者并发抑郁的相关因素,采用logistic回归分析法筛选其中的危险因素,统计分析所有患者的一般资料、抑郁、神经功能、生活能力等情况。结果单因素分析结果显示,并发组和对照组患者在性别、年龄、脑卒中性质方面基本相同,无显著性差异(P>0.05),并发组患者低文化程度、NIHSS得分、合并基础疾病率、病程、独居率明显高于对照组,前者BI得分明显低于后者,有显著性差异(P<0.05);logistic回归分析法结果显示,低文化程度、高神经功能缺损、合并基础疾病、长病程、独居是脑卒中患者并发抑郁的独立危险因素,高生活能力是其保护因素(P<0.05)。结论低文化程度、高神经功能缺损、合并基础疾病、长病程、独居与脑卒中患者并发抑郁有关,前者是后者的独立危险因素,而高生活能力是后者的保护因素,提示护理人员应对上述危险因素人群加强干预治疗,同时提高患者生活能力,以防治抑郁症。Objective To discuss the logistic regression analysis and nursing strategy on relative factors for complicating depression in cerebral apoplexy patients. Methods Files of 300 patients with cerebral apoplexy were retrospectively analyzed from September 2011 to June 2015 in our hospitals,the Hamilton depression scale（HAMD）was used to assess depression symptoms for all patients. According to whether in concurrent depressive state,all patients were divided into concurrent group（125 cases）and control group（175 cases）. The national institutes of health stroke scale（NIHSS）scores was used to evaluate nerve function,and the Barthel index（BI）was used to assess daily life ability. Single factor analysis was used to analyze the related factors of cerebral apoplexy patients complicated with depression while logistic regression analysis was used to screen the risk factors. General information,depression score and nerve function,and daily life ability of patients in both groups were analyzed. Results According to the results of single factor analysis,there was no significant difference（P〈0.05）between gender,age,category of stroke in concurrent group and the control. The rates of lower cultural degree,NIHSS score,consolidated basis,course of disease rate,solitary in concurrent group patients were significantly higher than the control group. BI score of concurrent group patient were significantly lower than the control（P〈0.05）;Logistic regression analysis results showed that low level of education,severe neurologic deficits,complication with underlying diseases,long disease duration and living alone were independent risk factors for complicating depression in cerebral apoplexy patients,and the high ability of daily life was a protective factor（P〈0.05）. Conclusions Low level of education,severe neurologic deficits,complication with underlying diseases,long disease duration and living alone could be independent risk factors for complicating depression in cerebral apoplexy patients,and the high

关 键 词：脑卒中 抑郁 危险因素 

分 类 号：R749.13[医药卫生—神经病学与精神病学]