脑出血患者血肿清除术后的病耻感与负性情绪的关系  

The Relationship between stigma and negative emotions in cerebral hemorrhage patients after hematoma removal

作　　者：周顺[1] 卢国奇[1] 邓晓辉 撖书杰 ZHOU Shun;LU Guoqi;DENG Xiaohui(Sanmenxia Central Hospital,Sanmenxia 472000,China)

机构地区：[1]河南省三门峡市中心医院,三门峡472000

出　　处：《国际精神病学杂志》2022年第1期105-107,121,共4页Journal Of International Psychiatry

摘　　要：目的 探讨脑出血患者血肿清除术后的病耻感与负性情绪的关系。方法 本研究对象为2018年1月~2020年1月我院收治的180例高血压脑出血患者,经血肿清除术治疗,采用脑卒中病人病耻感测评量表(SSS)评价患者病耻感水平,并设为低、中、高水平组,比较不同病耻感水平患者的美国国立卫生院神经功能缺损评估量表(NIHSS)得分、改良Barthel指数量表(MBI)得分、汉密尔顿抑郁量表(HAMD)得分、汉密尔顿焦虑量表(HAMA)得分。结果 180例脑出血患者血肿清除术后SSS评分平均为54.12±6.12分,其中高水平组52例,中水平组75例,低水平组53例;三组SSS评分、NIHSS评分、MBI评分、HAMD评分、HAMA评分差异具有统计学意义(P<0.05);SSS评分与NIHSS评分、HAMD评分、HAMA评分成正相关,与MBI评分成负相关(P<0.05)。结论 脑出血血肿清除术后病耻感处于中等水平,与神经功能、活动能力以及负性情绪具有显著相关性,可通过促进功能恢复,加强心理护理,降低病耻感。Objective To explore the relationship between stigma and negative emotions in cerebral hemorrhage patients after hematoma removal. Methods A total of 180 patients with hypertensive cerebral hemorrhage in our hospital from January 2018 to January 2020 were selected as the study subjects,and were treated with hematoma removal.Stigma scale(SSS)for stroke patients was used to evaluate patients’ stigma level and set as low,medium and high level groups. The National Institutes of Health Neurological Impairment Assessment Scale(NIHSS),Modified Barthel Index(MBI),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)were compared in patients with different levels of stigma. Results The average SSS score of 180 patients with cerebral hemorrhage after hematoma removal was(54.12±6.12)points,of which 52 were in the high-level group,75 were in the middle-level group,and 53 were in the low-level group. NIHSS scores,MBI scores,HAMD scores,and HAMA scores in three level of stigma patients had statistically differences(P<0.05). The SSS score is positively correlated with NIHSS score,HAMD score,and HAMA score,and negatively correlated with MBI score(P<0.05). Conclusion Stigma after cerebral hemorrhage and hematoma removal is at a moderate level,which is significantly correlated with neurological function,mobility and negative emotions. It can promote functional recovery,strengthen psychological care,and reduce stigma.

关 键 词：脑出血 血肿清除术 病耻感 负性情绪 

分 类 号：R749.1[医药卫生—神经病学与精神病学]