摘要
目的探讨脑卒中偏瘫患者康复期抑郁情绪与生活质量的关系,及其与生理和社会因素的关系。方法采用自编一般状况调查表、汉密尔顿抑郁量表(HRSD)、脑卒中专用生活质量量表(SS-QOL),对61例脑卒中偏瘫患者的生理与社会因素、抑郁情绪以及生活质量进行评定,并进行三者间的相关分析。结果(1)脑卒中抑郁患者SS-QOL评分明显低于无抑郁患者(P<0.01);(2)HRSD评分中除个别因素外,均与SS-QOL各项评分呈负相关(r=-0.773,P<0.01);(3)社会因素中,社会支持对抑郁的影响最大,其次是月收入,再次为受教育程度;(4)生活质量的重要影响因素有社会支持、并发症及病程。结论(1)脑卒中偏瘫患者康复期的抑郁情绪能直接导致生活质量的明显下降;(2)有效的社会支持、合并症的控制及相关心理健康知识的学习是改善脑卒中偏瘫患者康复期抑郁情绪、提高生活质量的主要措施。
Objective To investigate the relationship between depression and the quality of life （QOL） in patients with hemiplegic stroke in the rehabilitation phase and the correlation between depression and the QOL with physical or social factors. Methods 61 patients with hemiplegic stroke were measured by clinical interview and selfdesigned register form, HRSD and SS-QOL to judge physiological and social factors , depression and life quality of the patients and make correlative analysis among them. Results The scores of SS-QOL in patients with depression were much lower than those with no depression（P〈0.01 ） ;the scores in HRSD had negative correlation to the scores in SS-QOL except for a few factors（r = -0.773, P 〈0. 01 ） ;the most correlated factors with depression were the role of society support, earning and education; the most correlated factors with QOL were the role of society support , complication and the course of stroke. Condusions The depression mood makes the QOL declined obviously in hemiplegic patients during rehabilitation period; The leading way to alleviate depression mood and improve QOL in hemiplegic patients during rehabilitation period are effective social support, control of complication and learning of psychological knowledge.
出处
《临床神经病学杂志》
CAS
北大核心
2007年第1期18-21,共4页
Journal of Clinical Neurology
关键词
医学心理学
脑卒中
抑郁
生活质量
康复期
medical psychology
stroke
depression
quality of life
rehabilitation period
