老年高血压脑出血后偏瘫患者孤独感与社交回避及生活质量的相关性  

Correlation of loneliness with social avoidance and quality of life in elderly patients with hemiplegia after hypertensive cerebral hemorrhage

作　　者：刘月娟 王爱凤[1] 汤苏红 高静静 徐玲 陈露 杨梦兰 Liu Yuejuan;Wang Aifeng;Tang Suhong;Gao Jingjing;Xu Ling;Chen Lu;Yang Menglan(Department of Neurosurgery,Huai′an First Affiliated Hospital of Nanjing Medical University,Huai′an 223300,Jiangsu Province,China)

机构地区：[1]南京医科大学附属淮安第一医院神经外科,江苏淮安223300

出　　处：《中华老年多器官疾病杂志》2025年第4期276-280,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：江苏省卫生和健康委员会重点项目(ZD2021051)。

摘　　要：目的探讨老年高血压脑出血后偏瘫患者孤独感与社交回避及生活质量的相关性。方法回顾性分析2020年7月至2023年7月南京医科大学附属淮安第一医院神经外科收治的240例高血压脑出血后偏瘫患者的临床资料,按照偏瘫严重程度分为轻度组(n=84)、中度组(n=109)、重度组(n=47),均采用社交回避量表、孤独感量表、世界卫生组织生命质量量表对患者社交回避情况、孤独感、生活质量进行评估。采用SPSS 20.0软件进行数据分析。根据数据类型,组间比较分别采用LSD-t检验、单因素方差分析、χ^(2)及F检验。采用Pearson法分析老年高血压脑出血后偏瘫患者孤独感与社交回避及生活质量相关性,采用Spearman法分析老年高血压脑出血后偏瘫患者孤独感、社交回避及生活质量与疾病严重程度相关性。结果不同高血压脑出血后偏瘫患者社交回避、社交苦恼、总分比较,差异有统计学意义(F=113.224、130.427、217.624;P<0.05);不同高血压脑出血后偏瘫患者人际交往、主观感受、交往能力、自我认知维度评分及总分比较,差异有统计学意义(F=461.700、559.952、377.621、280.156、510.410;P<0.05);不同高血压脑出血后偏瘫患者环境、社会、心理、生理评分及总分比较,差异有统计学意义(F=163.106、113.470、72.978、80.031、101.783;P<0.05)。老年高血压脑出血后偏瘫患者孤独感与社交回避、偏瘫严重程度呈显著正相关(r=0.669、0.873;P<0.05),与生活质量呈负相关(r=-0.566;P<0.05);社交回避与生活质量呈显著负相关(r=-0.547;P<0.05),与偏瘫严重程度呈正相关(r=0.810;P<0.05);生活质量与偏瘫严重程度呈显著负相关(r=-0.681;P<0.05)。结论老年高血压脑出血后偏瘫患者孤独感与社交回避及生活质量呈显著相关,临床在治疗主要症状同时,还需积极主动关注老年高血压脑出血偏瘫患者的孤独情况,及时干预,改善患者生活质量及社交能力。Objective To explore the correlation of loneliness with social avoidance and quality of life in elderly patients with hemiplegia after hypertensive cerebral hemorrhage.Methods A retrospective analysis was conducted on 240 hemiplegia patients after hypertensive cerebral hemorrhage admitted to Department of Neurosurgery of our hospital from July 2020 to July 2023.According to the severity of hemiplegia,they were divided into mild group(n=84),moderate group(n=109)and severe group(n=47).Social avoidance scale,loneliness scale and World Health Organization Quality of Life Scale were used to evaluate their social avoidance,loneliness and quality of life.SPSS statistics 20.0 was used for statistical analysis.Data comparison between two groups was performed using LSD-t test,Wilcoxon test,χ^(2) test or F test depending on data type.Pearson correlation analysis was employed to analyze the correlation of loneliness with social avoidance and quality of life in the patients.Spearman analysis was applied to analyze the correlation of loneliness,social avoidance and quality of life with severity of the condition.Results Among the patients with different severities of hemiplegia after hypertensive cerebral hemorrhage,there were significant differences in social avoidance,social distress and total score(F=113.224,130.427,217.624;P<0.05),in the scores of interpersonal communication,subjective feeling,communication ability,self-cognition and total score(F=461.700,559.952,377.621,280.156,510.410;P<0.05),and in environmental,social,psychological and physiological scores and total score(F=163.106,113.470,72.978,80.031,101.783;P<0.05).Loneliness in the elderly hemiplegia patients was positively correlated with social avoidance and the severity of hemiplegia(r=0.669,0.873;P<0.05),and negatively with quality of life(r=-0.566;P<0.05).Social avoidance was negatively correlated with quality of life(r=-0.547;P<0.05),and posi-tively with the severity of hemiplegia(r=0.810;P<0.05).The quality of life was negatively correlated with the severit

关 键 词：老年人 孤独感 高血压脑出血后偏瘫 社交回避 生活质 

分 类 号：R743.33[医药卫生—神经病学与精神病学]