脑中风合并偏瘫患者社会关系质量与情绪异常相关性分析  

Correlation analysis of quality of social relationships and emotional symptoms in stroke hemiplegia patients

作　　者：杨秋菊[1] 刘倩[1] 崔跃明[1] 骆会萍 闫欣[1] 李墨[1] YANG Qiuju LIU Qian CUI Yueming et al(Department of Neurology, Jishuitan Hospital, Beifing 100096, China)

机构地区：[1]北京积水潭医院神经内科,北京100096

出　　处：《国际精神病学杂志》2017年第5期901-903,914,共4页Journal Of International Psychiatry

摘　　要：目的了解脑中风合并偏瘫患者社会关系质量和情绪障碍的现状,并分析两者之间的相关性,为改善脑中风合并偏瘫患者的情绪障碍症状提供参考。方法选取本院2016年1月~2016年12月神经内科收治脑中风继发偏瘫患者72例作为观察对象。采用社会关系质量量表(PSRQ)评估患者社会关系质量,采用17项汉密顿抑郁量表(HAMD-17)、14项汉密尔顿焦虑量表(HAMA)和贝克-拉范森躁狂量表(BRMS)评估患者心理情感障碍。采用Pearson相关性分析探索患者社会关系质量与心理情感障碍症状的相关性。结果调查结果显示,患者社会关系质量总分为(32.8±7.4)分;其中家庭亲密度(13.8±4.9)分、家庭承担得分(10.2±3.8)分、朋友关系(9.7±2.9)分;17项汉密顿抑郁量表评分(54.8±6.6)分、密尔顿焦虑量表评分(48.1±5.2)分和贝克-拉范森躁狂量表评分(38.4±4.5)分。Pearson相关性分析显示,社会关系质量总分与抑郁、焦虑、躁狂均呈现负相关性(P<0.01)。在分量表分析中,患者家庭亲密度、家庭承担和朋友关系等3个分量表评分也均与抑郁、焦虑、躁狂呈现负相关性(P<0.01)。结论脑中风合并偏瘫患者社会关系质量与心理情感障碍症状呈现负相关,改善其社会关系质量有可能减轻情感障碍症状。Objective To analysis correlation of quality of social relationships and emotional symptoms in stroke hemiplegia patients. Methods 72 cases of stroke hemiplegia patients were selected as the observation object in the Department of Neurology of our hospital＇s from January 2016 ~ December 2016. Social relationship quality scale（SRQS）assessment of patients with quality of social relations.17 item Hamilton Depression Rating Scale（HAMD-17）,14 Hamilton Anxiety Scale（HAMA）and Beck-rafaelsdn Mania Rating Scale（BRMS）were used to measure the emotional symptoms. Pearson correlation analysis between social relationship and emotion symptoms. Results In these stroke hemiplegia patients,the total score of Social Relational Quality Scale（SRQS）is 32.8±7.4. For the subscale analysis,Family Intimacy score is 13.8±4.9;Family Commitment score is 10.2±3.8,and Friendships score is 9.7±2.9. For the emotion symptoms,the HAMD score is 54.8±6.6,HAMA score is 48.1±5.2,and BRMS score is 38.4±4.5. Pearson correlation analysis showed that the total SRQS is negative associated depression,anxiety and mania symptoms in stroke hemiplegia patients（P〈0.01）. The three subscale score of SRQS（Family Intimacy,Family Commitment and Friendships）were also negative associated depression,anxiety and mania symptoms in stroke hemiplegia patients（P〈0.01）. Conclusion There is a negative correlation between the quality of social relationship and emotion symptoms in stroke hemiplegia patients. Increasing the quality of social relationship may weaken the emotion symptoms.

关 键 词：脑中风 偏瘫患者 社会关系质量 情感障碍 相关性 

分 类 号：R749.13[医药卫生—神经病学与精神病学]