家庭功能与社会支持对中年脑卒中后抑郁的影响  

Effects of family function and social support on the post-stroke depression in middle-aged patients

作　　者：侯慧卿[1] 王晓曦 李沙 吕丹 李强[1] HOU Huiqing;WANG Xiaoxi;LI Sha(Physical Examination Center,Hebei Provincial People’s Hospital,Hebei,Shijiazhuang,050051,China)

机构地区：[1]河北省人民医院,石家庄市050051

出　　处：《河北医药》2021年第9期1326-1329,1334,共5页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20211455)。

摘　　要：目的探讨家庭功能与社会支持对中年脑卒中后抑郁的影响。方法以178例中年脑卒中患者为研究对象,年龄40~60岁。采用一般资料问卷、ZUNG自评抑郁量表、家庭功能量表、社会支持量表对中年脑卒中患者进行评定。依据ZUNG自评抑郁量表测评结果,将标准分<50分者为非抑郁组74例,标准分≥50分者为抑郁组104例。结果抑郁组家庭功能各因子分均低于非抑郁组,2组比较差异有统计学意义(P<0.05或<0.01);2组患者客观支持分差异无统计学意义(P>0.05),抑郁组社会支持总分、社会支持利用度分、主观支持分均低于非抑郁组,差异有统计学意义(P<0.01)。结论良好的家庭功能和社会支持有助于降低中年脑卒中后抑郁的发生。Objective To investigate the effects of family function and social support on the post-stroke depression in middle-aged patients.Methods A total of 178 middle-aged patients(age range:40~60yr)with cerebral stroke were enrolled in the study,who were divided into depression group(≥50 points)and non-depression group(<50 points)according to the scores of ZUNG self evaluation depression scale.The family function scale and social support scale were used to evaluate the patients in both groups.Results The scores of family function factors in depression group were significantly lower than those in non-depression group(P<0.05 or P<0.01).There were no signifcant differences in the objective support scores between the two groups(P>0.05).The total scores of social support,subjective support score and social support utilization scores in depression group were significantly lower than those in non-depression group(P<0.01).Conclusion The good/excellent family function and social support can reduce the incidence of the post-stroke depression in middle-aged patients.

关 键 词：中年脑卒中 抑郁 家庭功能 社会支持 

分 类 号：R749.42[医药卫生—神经病学与精神病学]