摘要
背景老年脑卒中患者因肢体功能障碍或言语障碍等原因而在日常生活中表现出久坐行为,但久坐行为对患者心理健康的影响尚未明确,有待进一步探讨。目的探讨久坐行为与老年脑卒中患者合并抑郁的关系。方法选取2019年6月至2020年7月淮安市第三人民医院收治的122例老年脑卒中患者为研究对象。收集所有患者的临床资料,包括性别、年龄、体质指数、受教育时间、婚姻状况、是否独居、有无医疗保险、个人月收入、合并症、吸烟史、饮酒史、脑卒中病史、脑卒中分型、实验室检查指标[三酰甘油、总胆固醇、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖]、营养风险筛查2002(NRS2002)评分、领悟社会支持量表(PSSS)评分及久坐行为时间。本研究以汉密尓顿抑郁量表(HAMD)评分≥17分定义为抑郁。久坐行为时间与老年脑卒中患者HAMD评分的相关性分析采用Pearson相关分析;脑卒中患者合并抑郁的影响因素分析采用多因素Logistic回归分析。结果 122例老年脑卒中患者抑郁发生率为39.3%(48/122),久坐行为时间≥5 h/d者53例(占43.4%)。抑郁患者个人月收入≥5 000元者占比、PSSS评分低于非抑郁患者,三酰甘油、总胆固醇、LDL-C高于非抑郁患者,久坐行为时间长于非抑郁患者(P <0.05)。Pearson相关分析结果显示,久坐行为时间与老年脑卒中患者HAMD评分呈正相关(r=0.867,P <0.05)。多因素Logistic回归分析结果显示,PSSS评分[OR=4.027,95%CI(2.245,7.222)]、久坐行为时间[OR=3.080,95%CI(1.105,8.586)]是老年脑卒中患者合并抑郁的独立影响因素(P <0.05)。结论老年脑卒中患者抑郁发生率为39.3%。久坐行为时间与老年脑卒中患者抑郁严重程度呈正相关,久坐行为时间较长者抑郁发生风险升高。
Background Elderly stroke patients show sedentary behavior in daily life due to limb dysfunction or speech disorder, but the impact of sedentary behavior on patients’ mental health is not clear and needs to be further discussed.Objective To explore the relationship between the sedentary behavior and depression in elderly patients with stroke.Methods A total of 122 elderly patients with stroke treated in Huai’an Third People’s Hospital from June 2019 to July 2020 were selected as the research objects. The clinical data of all patients were collected, including gender, age, body mass index, education time, marital status, whether living alone, whether hiving medical insurance, personal monthly income, complications, smoking history, drinking history, stroke history, stroke classification, laboratory test indexes [triacylglycerol, total cholesterol, high density lipoprotein cholesterol(HDL-C), low density lipoprotein cholesterol(LDL-C), fasting blood glucose], Nutritional Risk Screening2002(NRS2002) score, Perceived Social Support Scale(PSSS) score and sedentary behavior time. In this study, depression was defined as Hamilton Depression Scale(HAMD) score ≥ 17. Pearson correlation analysis was used to analyze the correlation between sedentary behavior time and HAMD score in elderly patients with stroke;multivariate Logistic regression analysis was used to analyze the influencing factors of depression in elderly patients with stroke. Results The incidence of depression in122 elderly stroke patients was 39.3%(48/122), and 53 cases(43.4%) had sedentary behavior time ≥ 5 h/d. The proportion of patients with personal monthly income ≥ 5 000 yuan and PSSS score in depression patients were lower than those in nondepression patients, and the levels of triacylglycerol, total cholesterol, LDL-C were higher than those in non-depression patients,and sedentary behavior time was higher than that in non-depression patients(P < 0.05). Pearson correlation analysis showed that the sedentary behavior time was positively corr
作者
杨树前
张志艳
YANG Shuqian;ZHANGZhiyan(Department of Geriatric Psychiatry,Huai'an Third People's Hospital,Huai'an 223001,Chin)
出处
《实用心脑肺血管病杂志》
2021年第11期35-38,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
脑卒中
老年人
久坐行为
抑郁
Stroke
Aged
Sedentary behavior
Depression
