摘要
目的探讨脑梗死患者日常生活能力、社会支持对其抑郁情绪的影响。方法选取485例脑梗死患者,采用日常生活活动能力量表(Barthel指数)、社会支持量表和抑郁自评量表(SDS)对其进行评估。结果SDS>53分的患者共有者216例(44.5%,216/485)。日常生活能力受损患者的抑郁发生率(53.6%,82/153)显著高于日常生活能力正常患者(40.4%,134/332),χ2=7.425,P=0.006。SDS得分与Barthel指数呈负相关(r=-0.268,P=0.0001),与客观支持(r=-0.212,P=0.0001)、主观支持(r=-0.209,P=0.0001)、对社会支持的利用度(r=-0.237,P=0.0001)以及社会支持总分(r=-0.241,P=0.0001)均呈负相关。婚姻状况(^OR=1.786)、Barthel指数(^OR=2.993)和社会支持(^OR=3.087)均是脑梗死患者抑郁情绪的影响因素。结论日常生活能力受损、社会支持低下、单身或丧偶的脑梗死患者易出现抑郁情绪。
[ Objective ] To investigate the influence of activities of daily living and social support on depressive mood in patients with cerebral infarction. [ Methods ] Totally 485 patients with cerebral infarction were selected and assessed using the activities of daily living scale （Barthel index）, social support scale, and self-rating depression scale （SDS）. [Results] Two hundred and sixteen cases （44.5%, 216/485） obtained the score of SDS over 53. The rate of depression in patients with the impaired activities of daily living （53.6%, 82/153） was higher than those with the normal activities of daily living （40.4%, 134/332）, X2=7.425, P = 0.006. There were strong negative correlations be- tween the score of SDS and Barthel index （r = -0.268, P = 0.0001）, SDS and objective support （r = -0.212, P = 0.0001）, SDS and subjective support （r = -0.209, P = 0.0001）, SDS and availability of social support （r = -0.237, P = 0.0001）, SDS and social support （r= -0.241, P = 0.0001）. Marital status （OR= 1.786）, Barthel index （OR= 2.993） and social support （OR=3.087） were the influence factors on depression of patients with cerebral infarction. [ Con- clusions ] The impaired activities of daily living, lower social support, and single/widowed status could easily lead to depression in patients with cerebral infarction.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第22期105-108,共4页
China Journal of Modern Medicine
关键词
脑梗死
抑郁情绪
日常生活能力
社会支持
cerebral infarction
depressive mood
activity of daily living
social support
