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脑卒中首发患者康复期抑郁状况的调查分析

周洁 曾德志 王兵华

中国康复2012,Vol.27Issue(3):174-176,3.
中国康复2012,Vol.27Issue(3):174-176,3.DOI:10.3870/zgkf.2012.03.005

脑卒中首发患者康复期抑郁状况的调查分析

Survey on depression state of the first-onset patients with stroke in convalescent stage

周洁 1曾德志 2王兵华2

作者信息

  • 1. 咸宁市中心医院,湖北咸宁437100
  • 2. 咸宁学院附属第二医院,湖北咸宁437100
  • 折叠

摘要

Abstract

Objective:To explore the depression condition and related factors of first-onset patients with stroke in convalescent stage,and to accumulate clinical data for further intervention. Methods: 100 first-onset stroke patients in convalescent stage were investigated with a questionnaire on general condition and were evaluated with the Self-Rating Depression(SDS), the Activity of Daily Living Scale(ADL) and the Social Support Rating Scale(SSRS). The relationship between the scores of SDS and the general data ,the scores of ADL, SSRS of the patients were compared and analyzed. Results:The scores of SDS in the group were significantly higher than those of the Chinese norm (t= 8. 486,P=0. 000). The positive rate of SDS was 44%. The score of SDS was significantly related to the patients' marital status, household, profession character, economy state, type of illness, the scores of ADL and SSRS (F<0. 01,0. 05) ,but not significantly related to sex, age, degree of education, type of payment, severity of diseases, and course of the disease. In multiple regression analysis,only the scores of ADL and SSRS and profession character entered into the regression equation: y=36. 906 + 6. 544x,+4. 483x2-2. 719x3(F= 153. 986,P = 0. 000). It could forecast 82. 3% of scores variation of SDS. Conclusion:The rate of depression is rather high among the first-onse patients with stroke in convalescent stage. The depression happens likely and it is much more serious among the patients with a poor activity of daily living and social support or brain-workers were inclined to depression. In the clinical practice, more attention should be paid to these factors in order to give feasible intervention to help the patients recover earlier.

关键词

脑卒中/抑郁/因素分析

Key words

stroke/ depression/ factors analysis

分类

医药卫生

引用本文复制引用

周洁,曾德志,王兵华..脑卒中首发患者康复期抑郁状况的调查分析[J].中国康复,2012,27(3):174-176,3.

中国康复

OACSTPCD

1001-2001

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