本文選題：卒中后抑郁 + 情緒調(diào)節(jié)��； 參考：《中國康復醫(yī)學雜志》2017年08期

【摘要】：目的:研究腦卒中患者的情緒調(diào)節(jié)方式及腦卒中后抑郁癥狀的主要相關(guān)因素。方法:選取住院腦卒中恢復期患者155例,采取集體實施問卷調(diào)查的方式,獲取有效問卷124例。用抑郁自評量表來評估卒中后抑郁癥狀,用Gross情緒調(diào)節(jié)問卷(ERQ,包括認知重評和表達抑制兩個分量表)來評估卒中患者認知重評和表達抑制的使用情況;用沉思量表(RRS)來測量卒中患者沉思策略的使用情況;采用Pearson相關(guān)分析計算抑郁量表分和不同情緒調(diào)節(jié)策略得分之間的相關(guān)系數(shù);并用logistic回歸分析對卒中患者抑郁癥狀的主要相關(guān)因素進行分析。結(jié)果:41例腦卒中患者有抑郁癥狀。抑郁量表總分與ERQ的認知重評得分呈負相關(guān)(r=-0.23,P=0.01),與ERQ的表達抑制得分無相關(guān)(r=0.02,P=0.05),與RRS總分呈正相關(guān)(r=0.60,P=0.00)�；貧w分析表明,照料者為家屬(OR=0.54,P=0.034)、認知重評分量表得分高(OR=0.36,P=0.005)和NIHSS得分低(OR=1.21,P=0.002)的已婚腦卒中患者SDS總分較低,而年齡較大(OR=1.04,P=0.019)、照料者為護工(OR=1.18,P=0.042)、離異/喪偶(OR=1.22,P=0.034)和RRS總分較高(OR=1.53,P=0.001)的腦卒中患者SDS總分較高。結(jié)論:年齡較大、照料者為護工、離異/喪偶、越多使用沉思策略和越少使用認知重評策略的腦卒中患者,發(fā)生抑郁的風險越大。
[Abstract]:Objective: to study the mood regulation and the main related factors of depression after stroke in patients with cerebral apoplexy. Methods: 155 inpatients with stroke in convalescent stage were selected and 124 effective questionnaires were obtained by means of collective questionnaire. Depression self-rating scale was used to evaluate post-stroke depression symptoms, and Gross emotion regulation questionnaire (Gross) was used to evaluate the use of cognitive reassessment and expression inhibition in stroke patients. Pearson correlation analysis was used to calculate the correlation coefficient between depression scale and different emotion regulation strategies. The main related factors of depression in stroke patients were analyzed by logistic regression analysis. Results 41 stroke patients had depressive symptoms. There was a negative correlation between the total score of depression scale and the score of cognitive reassessment of ERQ. There was no correlation between the total score of depression scale and the score of ERQ expression inhibition. There was a positive correlation between the total score of depression scale and the total score of RRS. The regression analysis showed that the total SDS score of married stroke patients with lower NIHSS score was lower than that of married stroke patients with lower NIHSS score (0.36) and 0.36% (P < 0.005) and 0.54% (P < 0.034) and 0.36% (P < 0.005) respectively, and the total SDS score of married stroke patients was lower than that of married stroke patients (P < 0.05). The total SDS score of stroke patients with higher RRS score was higher than that of the older ones (OR1. 04 P 0. 019, care worker 1. 18 / P 0. 042, divorced / widowed OR1. 22 P0. 034) and RRS with a higher total score of 1. 53% P0. 001 (P < 0. 001). Conclusion: the older the carer is, the higher the risk of depression is in the stroke patients who use more meditation strategies and less cognitive reappraisal strategies.
【作者單位】： 浙江省人民醫(yī)院(杭州醫(yī)學院附屬人民醫(yī)院)康復科;
【基金】：浙江省醫(yī)藥衛(wèi)生計劃一般項目(2015126322) 浙江省醫(yī)學重點(創(chuàng)新)學科資助項目
【分類號】：R743.3
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本文編號：1926288