發(fā)布時間：2018-03-04 06:15

  本文選題：腦卒中偏癱　切入點：抑郁　出處：《中國老年學雜志》2016年17期 　論文類型：期刊論文

【摘要】：目的探討老年腦卒中偏癱患者康復期抑郁情緒、生活質量及其相關影響因素。方法選擇腦卒中偏癱患者84例,采用問卷調查方式調查患者社會人口學特征、社會支持、腦卒中專用生活質量(SS-QOL)及漢密頓抑郁量表(HAMD)情況,采用多重線性回歸分析患者抑郁情緒、生活質量的影響因素。結果 84例腦卒中患者中29例(34.52%)無抑郁、15例(17.86%)輕度抑郁、28例(33.33%)中度抑郁、12例(14.29%)為重度抑郁;所有患者的生活質量SS-QOL評分為(108.37±28.31)分,其中無抑郁組患者SS-QOL評分為(133.28±13.82)分,高于抑郁組患者的(93.23±25.34)分(P0.05);患者抑郁得分與社會支持、生活質量SS-QOL評分存在負相關(r=-0.432,-0.532;P0.05),患者生活質量SS-QOL評分與社會支持評分存在正相關(r=0.513,P0.05)。多因素分析顯示,月收入低、自費醫(yī)療及社會支持越低是腦卒中患者發(fā)生抑郁情緒的危險因素;月收入高、公費醫(yī)療、社會支持越高、無抑郁狀態(tài)是腦卒中患者生活質量的保護因素。結論老年腦卒中偏癱患者康復期抑郁情緒發(fā)生率較高,抑郁患者生活質量較低,社會支持、經濟因素是影響患者抑郁及生活質量的重要因素。
[Abstract]:Objective to investigate the depression, quality of life and its related factors in the elderly patients with hemiplegia during rehabilitation. Methods 84 patients with hemiplegia of stroke were selected, and the social demographic characteristics and social support were investigated by questionnaire. The specific quality of life (QOL) and Hamilton Depression scale (Hamd) were analyzed by multiple linear regression analysis. Results among 84 patients with stroke, 29 (34.52) had no depression and 15 had no depression (17.86) mild depression was found in 28 (33.33) and 12 (14.29)) were severe depression, and the SS-QOL score of quality of life in all patients was 108.37 鹵28.31). The SS-QOL score of non-depression group was 133.28 鹵13.82, which was higher than that of depression group (93.23 鹵25.34) (P 0.05). There was a negative correlation between quality of life (SS-QOL) score and quality of life (SS-QOL) score. There was a positive correlation between SS-QOL score and social support score. Multivariate analysis showed that low monthly income, lower self-funded medical treatment and lower social support were the risk factors for depression in stroke patients. The higher the monthly income, the higher the public medical treatment and the higher the social support, the more the non-depressive state is the protective factor for the quality of life of the stroke patients. Conclusion the incidence of depression in the elderly patients with hemiplegia during rehabilitation period is higher, and the quality of life of the patients with depression is lower than that of the elderly patients with hemiplegia. Social support and economic factors are important factors affecting depression and quality of life.
【作者單位】： 武漢市武昌醫(yī)院外2科;
【基金】：2015~2016年度湖北省衛(wèi)生計生西醫(yī)類一般項目(No.WJ2015MB250)
【分類號】：R743.3;R49

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