中国健康心理学杂志2019，Vol.27Issue(3)：321-324,4.DOI:10.13342/j.cnki.cjhp.2019.03.001
车祸颅脑损伤患者康复治疗期抑郁心理发生的危险因素
Risk factors of depression in patients with craniocerebral injury caused by traffic accident during rehabilitation treatment
摘要
Abstract
Objective:To investigate the risk factors of depression in patients with craniocerebral injury caused by traffic accident during rehabilitation treatment.Methods:A total of 130patients with craniocerebral injury during rehabilitation treatment who were treated in the hospital from November 2015to October 2016were selected as study subjects.The status of depression in patients during the rehabilitation treatment was evaluated with the 17-item Hamilton Depression Scale (HAMD-17) .Changes of HAMD scores before treatment and during the rehabilitation treatment were observed.According to the evaluation results, the patients were divided into the depression group (HAMD-17score＞7points) and the non-depression group (HAMD-17score≤7points) .The general data and scores of the Social Support Rating Scale (SSRS) were analyzed and compared between the two groups.The risk factors of depression in patients with craniocerebral injury caused by traffic accident during rehabilitation treatment were analyzed by univariate and multivariate Logistic regression analyses.Results:The HAMD score of the subjects during the rehabilitation treatment was significantly higher than that before the treatment and that of domestic norm (t=11.697, 27.837, P＜0.001) .Of the 130subjects, 80patients had depression, and the incidence of depression was61.54％ (80/150) .Univariate and multivariate Logistic regression analyses showed that younger age (OR=-0.321, P=0.012, 95％CI 1.017～1.282) , high education level (OR=-0.519, P=0.007, 95％CI 1.011～2.208) , poor economic status (OR=-0.605, P=0.016, 95％CI 1.154～3.430) , no economic compensation (OR=-0.552, P=0.013 95％CI1.213～3.983) , high degree of craniocerebral injury (OR=-0.712, P=0.016, 95％CI 1.301～3.992) , coma (OR=-0.313, P=0.014, 95％CI 1.001～2.128) and low SSRS score (OR=-0.449, P=0.005, 95％CI 1.009～2.198) were independent risk factors of depression in patients with craniocerebral injury caused by car accident during rehabilitation treatment.Conclusion:The risk of depression is relatively higher in patients with craniocerebral injury caused by car accident during rehabilitation treatment.The main risk factors include age, high education level, poor social support and high degree of craniocerebral injury, etc.Attention should be paid to the risk factors to guide the reasonable intervention.关键词
颅脑损伤/车祸/康复治疗期/抑郁心理/危险因素Key words
Craniocerebral injury/Car accident/During rehabilitation treatment/Depression/Risk factors分类
医药卫生引用本文复制引用
杨敏,张锦绣,张艳平..车祸颅脑损伤患者康复治疗期抑郁心理发生的危险因素[J].中国健康心理学杂志,2019,27(3):321-324,4.基金项目
江苏省自然科学基金:(编号:BK20161374) （编号:BK20161374）
