【摘要】：目的：卒中后抑郁（PSD）在腦血管疾病當(dāng)中的發(fā)生比較常見，它不僅加重患者及其家屬的精神痛苦，還使卒中患者的神經(jīng)功能恢復(fù)減緩，增加患者的住院天數(shù)，，使其生活質(zhì)量下降，給患者的家庭及社會(huì)帶來沉重的負(fù)擔(dān)。近幾年來PSD越來越受到臨床醫(yī)務(wù)工作者的重視，對該疾病的相關(guān)因素的研究也越來越多。本研究探討PSD的發(fā)生率，并對有可能影響卒中后抑郁癥狀的發(fā)生及其嚴(yán)重程度的相關(guān)因素進(jìn)行研究分析，這些因素包括性別、年齡、受教育程度、經(jīng)濟(jì)收入情況、吸煙、飲酒、日常生活能力、應(yīng)對方式、社會(huì)支持和生活質(zhì)量與滿意程度；更進(jìn)一步探討這些因素與卒中后抑郁癥狀的發(fā)生及其嚴(yán)重程度的關(guān)系。 方法：對本研究的207例腦卒中患者使用Zung抑郁自評量表及自制問卷、生活質(zhì)量與滿意程度量表（Q-LES-SF）、日常生活能力量表(ADL)、簡易應(yīng)對方式量表（CSRS）、社會(huì)支持量表（SSRS）進(jìn)行評定。 結(jié)果：207例患者中有50例出現(xiàn)抑郁癥狀,其發(fā)生率為24.2%。單因素及多因素分析篩選出影響腦卒中后抑郁癥狀的因素與下列15項(xiàng)有關(guān):社會(huì)支持(主觀支持、客觀支持、支持利用度)、簡易應(yīng)對方式（積極應(yīng)對、消極應(yīng)對）、生活質(zhì)量與滿意程度評估（主觀滿意程度、總的生活滿意度）、病前是否吸煙、生活能力總分、受教育程度、居住地等。 結(jié)論：患者抑郁癥狀與吸煙、卒中次數(shù)、消極應(yīng)對、日常生活能力呈正相關(guān)；與收入、居住地、客觀支持、主觀支持、主觀滿意程度、生活滿意度呈負(fù)相關(guān)；影響腦卒中后抑郁癥狀的因素有:主觀滿意程度低、農(nóng)村居住、消極應(yīng)對。
[Abstract]:Objective: poststroke depression (PSD) is common in cerebrovascular diseases. It not only exacerbates the mental pain of patients and their families, but also slows down the recovery of neurological function of stroke patients and increases the days of hospitalization. Make its quality of life decline, to the patient's family and society brings a heavy burden. In recent years, PSD has been paid more and more attention by clinical medical workers, and more researches have been made on the related factors of the disease. This study explored the incidence of PSD, and analyzed the factors that might affect the occurrence and severity of post-stroke depression, including sex, age, education, income, smoking, alcohol consumption. Ability of daily life, coping style, social support, quality of life and satisfaction; To further explore the relationship between these factors and the occurrence and severity of post-stroke depression. Methods: the self-rating depression scale (Zung) and self-made questionnaire, quality of life and satisfaction scale (Q-LES-SF), activity of daily living scale (ADL), simple coping style scale (CSRS),) were used in 207 stroke patients in this study. Social support scale (SSRS) was evaluated. Results: 50 of 207 patients had depressive symptoms, and the incidence rate was 24.2%. Univariate and multivariate analysis showed that the factors influencing depression symptoms after stroke were related to the following 15 factors: social support (subjective support, objective support, support availability), simple coping style (positive coping, negative coping). Assessment of quality of life and satisfaction (subjective satisfaction, total life satisfaction), smoking before illness, total score of living ability, education level, place of residence, etc. Conclusion: depression was positively correlated with smoking, stroke frequency, negative coping, daily living ability, and negatively correlated with income, residence, objective support, subjective satisfaction and life satisfaction. The factors influencing depression after stroke are: low degree of subjective satisfaction, living in rural areas, and negative coping.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R749.4

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