卒中后抑郁病人恢复期抑郁严重程度影响因素分析  

Analysis of factors affecting severity of depression in post stroke depression patients at convalescence

作　　者：张慧 仇丽霞[1] ZHANG Hui;QIU Lixia(School of Public Health,Shanxi Medical University,Shanxi 030000 China)

机构地区：[1]山西医科大学公共卫生学院,山西030000

出　　处：《护理研究》2020年第6期1001-1005,共5页Chinese Nursing Research

摘　　要：[目的]调查并探讨卒中后抑郁(PSD)病人恢复期抑郁严重程度影响因素.[方法]于2017年1月—2018年10月选取山西省3所三级甲等医院神经内科、康复科297例恢复期PSP病人为研究对象,采用一般资料调查表、抑郁自评量表(SDS)、艾森克人格问卷简式中国版(EPQ?RSC)、美国国立卫生研究院卒中量表(NIHSS)、社会支持评定量表(SRSS)对病人进行调查.采用非参数检验进行单因素分析,采用有序Logistic回归进行多因素分析.[结果]297例PSD病人中,轻度抑郁、中度抑郁、重度抑郁病人分别为136例(45. 8%),114例(38. 4%),47例(15. 8%).Logistic回归分析结果显示:性别、收入、高血压、既往史(除"三高"及冠心病)、NIHSS评分、神经质、社会支持等因素均与PSD恢复期病人抑郁严重程度有关(P<0. 05).[结论]男性、低收入、患有高血压、有既往史(除"三高"及冠心病)、高神经缺损程度、情绪不稳定、低社会支持度的病人抑郁程度更严重,对于有以上相关因素的PSD病人,应对其心理健康状况给予更多的关注.Objective:To investigate and explore factors affecting severity of depression in post stroke depression(PSD)patients at convalescence. Methods:A totally of 297 PSD patients at convalescence in neurology department and rehabilitation departments in three tertiary grade A hospitals in Shanxi province,were selected as research object from January 2017 to October 2018. The general data questionnaire,Self-Rating Depression Scale(SDS),Eysenck Personality Questionnaire-Revised Short Scale for Chinese(EPQ-RSC), the National Institutes of Health Stroke Scale(NIHSS),Self Rating Social Support Scale(SRS)were used to investigate patients. Nonparametric test was used for single factor analysis. And ordered Logistic regression was used for multi factor analysis. Results: Among 297 PSD patients,there were 136(45. 8%)with mild depression,114(38. 4%)with moderate depression and 47(15. 8%)with severe depression. Logistic regression analysis showed that gender,income,hypertension,previous history(without hypertension, hyperlipidemia,hyperglycemia and coronary heart disease),NIHSS score,neuroticism,social support were related to the severity of depression in patients with stroke at convalescence(P<0. 05). Conclusion:Patients who is male,have lower income,hypertension, previous history(without hypertension,hyperlipidemia,hyperglycemia and coronary heart disease),higher neurological deficit,emotional instability and lower social support,have more severe depression. More attention should be paid to mental health of stroke patients with above related factors.

关 键 词：卒中后抑郁 抑郁程度 恢复期 影响因素 

分 类 号：R473.54[医药卫生—护理学]