脑卒中患者障碍侧别对卒中后抑郁程度影响的研究  

Investigation on the influence of different lateral dysfunctions on the degree of post-stroke depression in stroke patients

作　　者：曹丽辉[1,2] 房云玲[3] 李文静 黄富表 CAO Lihui;FANG Yunling;LI Wenjing;HUANG Fubiao(Department of Occupational Therapy, Beijing Boai hospital, China Rehabilitation Research Center, Beijing 100068;Department of occupational therapy, School of rehabilitation medicine, Capital Medical University, Beijing 100068;The Third Affiliated Hospital of Zhengzhou University, Henan Province 450000, China)

机构地区：[1]中国康复研究中心北京博爱医院作业疗法科,100068 [2]首都医科大学康复医学院,作业治疗教研室,100068 [3]郑州大学第三附属医院,450000

出　　处：《中国老年保健医学》2021年第3期48-50,共3页Chinese Journal of Geriatric Care

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(项目编号2019CZ-11)。

摘　　要：目的探讨脑卒中患者不同障碍侧别对卒中后抑郁程度影响的差异,为康复治疗中进一步加强对患者精神层面的关注提供理论依据。方法选取右利手脑卒中患者90例,分为两组:利手侧障碍组45例,非利手侧障碍组45例。对患者进行上肢功能、手部功能、认知功能、自理能力的常规评估,同时使用抑郁自评量表(Self-Rating Depression Scale,SDS)对卒中后抑郁程度进行评估。根据量表评估结果进行统计学处理,分析利手侧与非利手侧障碍后,患者卒中后抑郁程度是否存在差异,并浅析其可能的原因。结果利手侧障碍的脑卒中患者SDS评分明显高于非利手侧障碍的患者(P=0.000)。结论利手侧障碍比非利手侧障碍患者的卒中后抑郁程度更加严重。Objective To explore the differences in the influence of different lateral dysfunctions on the degree of post-stroke depression in stroke patients so as to provide a theoretical basis for paying closer attention to the mental conditions of patients in rehabilitation treatment.Methods A total of 90 right-handed patients divided into two groups,45 with handed dysfunctions and 45 with non-handed dysfunctions,were selected.Each subject's upper extremity function,hand function,cognitive function,ADL and the degree of post-stroke depression,using the Self-Rating Depression Scale(SDS),were evaluated.Statistical processing was performed according to the results to analyze whether there was a difference in the degree of post-stroke depression between patients with handed and non-handed lateral dysfunctions and the relevant factors that affected the degree of post-stroke depression in patients.Results The SDS scores of stroke patients with handed lateral dysfunctions are significantly higher than those with non-handed lateral dysfunctions(P=0.000).Conclusion The degree of post-stroke depression in stroke patients with handed lateral dysfunctions is more severe than those with non-handed lateral dysfunctions.

关 键 词：自评抑郁量表 卒中后抑郁 利手 

分 类 号：R47[医药卫生—护理学]