社会活动和社会关系质量对老年首发缺血性脑卒中患者抑郁症状的影响  

Effects of Social Activities and Social Relationship Quality on Depressive Symptoms in Elderly Patients with First Ischemic Stroke

作　　者：袁燕[1] 卢梅芳 袁治玲 郑昌娟 YUAN Yan;LU Meifang;YUAN Zhiling;ZHENG Changjuan(Department of Geriatrics, the First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453100)

机构地区：[1]新乡医学院第一附属医院,新乡453100

出　　处：《临床护理杂志》2021年第4期10-13,共4页Journal of Clinical Nursing

基　　金：河南省医学科技攻关计划项目(2018042335)。

摘　　要：目的探讨社会活动和社会关系质量对老年首发缺血性脑卒中患者抑郁症状的影响。方法选取2016年8月-2020年8月在我科接受治疗的首发脑卒中患者1000例。医护人员在患者发病3个月后进行问卷调查,问卷包含一般资料调查表、老年抑郁量表(GDS-15)、美国国立卫生研究院脑卒中量表(NIHSS)、社会关系质量量表、CD-RISC韧性量表等,采用多因素Logistic回归分析老年首发缺血性脑卒中患者抑郁症状的影响因素。结果820例患者中120例存在抑郁症状,占14.63%;700例无抑郁症,占85.37%。无抑郁症患者中,参与轻度休闲运动、下棋、与朋友交流次数多的患者占比高于有抑郁症患者;有抑郁症患者中NIHSS评分≥5分占比59.17%,高于无抑郁症的40.71%;有抑郁症患者的家庭亲密度、家庭承担、朋友关系、社会关系质量总分及坚韧性、乐观、力量、韧性总分低于无抑郁症(P<0.05,P<0.001)。经多因素Logistic回归分析结果显示,与朋友交流次数多、轻度休闲运动、社会关系质量评分高、韧性总分高是老年首发缺血性脑卒中患者抑郁症状的保护因素,NIHSS评分高是老年首发缺血性脑卒中患者抑郁症状的危险因素。结论老年首发缺血性脑卒中患者抑郁症状的影响因素较多,临床可以此为切入点改善患者抑郁症状。Objective To investigate the effects of social activities and social relationships on the depressive symptoms of elderly patients with first ischemic stroke.Methods 1000 patients withfirst stroke who were treated in our department of neurology from August 2016 to August 2020 were selected.Medical staff conducted a questionnaire survey 3 months after the onset of the patient.The questionnaire included general information questionnaire,geriatric depression scale(GDS-15),lesion site,National Institutes of Health Stroke Scale(NIHSS)score,quality of social relationship,table and CD-RISC Resilience Scale.Multivariate Logistic regression was used to analyze the influencing factors of depressive symptoms in elderly patients with first ischemic stroke.Results A total of 120 patients had depressive symptoms,accounting for 14.63%;700 patients had no depression,accounting for 85.37%.Among the patients without depression,the proportion of patients with mild leisure sports,chess,and frequent interactions with friends was higher than that of patients with depression;the group with depression had a NIHSS score greater than 5 and the proportion was 59.17%,which was higher than 40.71%of the non-depression group;the family intimacy score,family commitment score,friend relationship score,and social relationship quality score of the depression group were lower than those of the non-depression group.The score of toughness,optimism,strength,resilience was lower than that in the group without depression,and the difference was statistically significant(P<0.05,P<0.001).After multivariate logistic regression analysis,frequent interactions with friends,mild fitness activities,high social relationship quality scores,and high total resilience scores were the protective factors of depression symptoms in elderly patients with first ischemic stroke.High NIHSS scores was the first ischemia in elderly patients risk factors of depressive symptoms of stroke.Conclusion There are many influential factors of depressive symptoms in elderly patients with

关 键 词：脑卒中 抑郁 社会活动 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R749.72[医药卫生—临床医学]