急性脑梗死后患者情绪-社交孤独现状及其相关因素分析  

Status of emotional-social loneliness in patients with acute cerebral infarction and the related factors analysis

作　　者：董泗芹[1] 刘效辉[2] 牛爱敏[3] 张晓娜 田永梅[1] 李继锋 王珊珊 Dong Siqin;Liu Xiaohui;Niu Aimin;Zhang Xiaona;Tian Yongmei;Li Jifeng;Wang Shanshan(Departmerit of Senile Neurology, Shandong Provincial Hospital Affiliated to Shandong University , Jinan 250012 , China;Department of Neurology,Shandong Provincial Hospital affiliated to Shandong University, Jinan 250012 China;Departmerit of Public Health ,Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250012,China)

机构地区：[1]山东大学附属省立医院保健神经科,济南250012 [2]山东大学附属省立医院神经内科,济南250012 [3]山东大学附属省立医院公共卫生科,济南250012

出　　处：《中华老年医学杂志》2019年第4期383-387,共5页Chinese Journal of Geriatrics

基　　金：济南市科技计划(201805074);山东省重点研发计划(2016GSF201068);山东省医药卫生科技发展计划(2018WS280).

摘　　要：目的分析急性脑梗死后患者情绪-社交孤独(包括情绪孤立、社交孤立、情绪孤独和社交孤独)现状及其相关因素。 方法本研究纳入2017年1月至10月在五所三级甲等医院神经内科住院的急性脑梗死后患者122例进行问卷调查。调查工具包括:患者一般资料问卷和情绪-社交孤独问卷。 结果在122例急性脑梗死后患者中,情绪孤立、社交孤立、情绪孤独、社交孤独患者分别为48例(39.3%)、60例(49.2%)、40例(32.8%)和36例(29.5%)。情绪孤立、社交孤立、情绪孤独、社交孤独四项维度的得分分别为(8.3±5.2)分、(8.6±5.1)分、(7.5±6.1)分和(7.4±5.5)分。患者在情绪-社交孤独各维度得分与其文化水平、家庭月收入、职业状况和发病前状态有关,与性别、婚姻状况和既往卒中史无关。 结论急性脑梗死后患者情绪-社交孤独流行率较高,临床工作中应予以重点关注,尤其是应关注文化水平为高中以上、家庭月收入≥5000元的离退休患者。Objective To explore the status of emotional-social loneliness including emotional isolation, social isolation, emotional and social loneliness in patients with acute cerebral infraction, and to analyze the related factors. Methods A total of 122 patients with acute cerebral infraction admitted to the neurology department of 5 third-grade class-A hospitals from Jan.2017 to Oct.2017 were enrolled.Data was collected by self-reported questionnaires including patients' general data and the emotional-social loneliness questionnaire data. Results Among 122 patients with acute cerebral infraction, emotional isolation, social isolation, emotional loneliness and social loneliness were found in 48 cases(39.3%), 60 cases(49.2%), 40 cases(32.8%)and 36 cases(29.5%), respectively.The total average score for emotional isolation, social isolation, emotional loneliness and social loneliness were 8.3±5.2, 8.6±5.1, 7.5±6.1, and 7.4±5.5, respectively.The scores for emotional-social loneliness were associated with education level, monthly family income, occupations and the emotion state before disease, and were not associated with gender, marriage status and stroke history. Conclusions The prevalence of emotional-social loneliness is high in patients with acute cerebral infraction.Especially careful attention should be paid to patients with higher education level and retired with monthly family income ≥5 000 RMB.

关 键 词：脑梗死 情绪障碍 社交孤立 孤独 

分 类 号：R743.3[医药卫生—神经病学与精神病学]