摘要
目的探讨脑卒中后伴发情感障碍的影响因素,为脑卒中后情感障碍的预防及治疗提供参考。方法选择2018年9月~2020年9月100例脑卒中患者为研究对象,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行情感障碍筛查,并设为情感障碍组以及对照组,调查两组患者一般资料,评估日常生活活动能力量表(ADL)、匹兹堡睡眠指数量表(PSQI)、社会支持评定量表(SSRS)、神经功能缺损程度量表(NIHSS),记录性别、年龄、婚姻等病历资料。分别进行单因素及多因素Logistic回归分析调查脑卒中后伴发情感障碍的影响因素。结果100例脑卒中患者中34例伴发情感障碍;情感障碍组以及对照组生活活动能力、睡眠障碍、社会支持度、神经功能缺损程度、年龄、病灶累及额叶或颞叶、学历差异具有统计学意义(P<0.05),两组性别、婚姻状况、脑卒中类型差异无统计学意义(P>0.05);多因素分析显示,生活活动能力差、睡眠障碍、社会支持度低、重度神经功能缺损、病灶累及额叶或颞叶是脑卒中后伴发情感障碍的影响因素。结论脑卒中后伴发情感障碍率较高,受到生活活动能力、睡眠障碍、社会支持度、神经功能缺损程度、病灶位置等因素的影响。
Objective To explore the influencing factors of affective disorder in patients after stroke,and provide reference for the prevention and treatment of affective disorder after stroke.Methods A total of 100 stroke patients from September 2018 to September 2020 were selected as the study subjects.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to screen for affective disorders,and were set as the affective disorder group and the control group.The general information of the two groups of patients were investigated.The activities of daily living(ADL),pittsburgh sleep index(PSQI),social support rating scale(SSRS),neurological impairment scale(NIHSS)were evaluated.The medical records such as gender,age,marriage were recorded.Single-factor and multifactor Logistic regression analysis were carried out to investigate the influencing factors of affective disorder after stroke.Results Thirty-four out of 100 stroke patients complicated with affective disorder.The affective disorder group and the control group had statistically significant differences in life activity ability,sleep disorder,social support,neurological deficit,age,frontal or temporal lobe involvement of the lesion,and educational background(P<0.05).There was no significant difference in gender,marital status,and type of stroke between the two groups(P>0.05).Multivariate analysis showed that poor life activity,sleep disturbance,low social support,severe neurological deficits,and lesions involving the frontal or temporal lobes are the influencing factors for affective disorders after stroke.Conclusion The rate of complicated affective disorder after stroke is high,which is affected by factors such as life activity ability,sleep disorder,social support,degree of neurological deficit,and location of the lesion.
作者
马衡
梁新生
银贺
王琴琴
刘爱红
吴俊红
MA Heng;LIANG Xinsheng;YIN He(Zhumadian Second People’s Hospital,Zhumadian Psychiatric Hospital,Zhumadian 463000,China)
出处
《国际精神病学杂志》
2022年第4期665-668,共4页
Journal Of International Psychiatry
关键词
脑卒中
恢复期
情感障碍
影响因素
Stroke
Recovery Period
Affective Disorder
Influencing Factors
