老年急性脑卒中后情绪障碍与机体营养及生活质量的相关性

Correlation of emotional disorders with body nutrition and quality of life in the elderly with acute stroke

目的分析老年急性脑卒中后情绪障碍与机体营养及生活质量的相关性。方法纳入2021年3月至2023年6月西安交通大学第二附属医院老年急性脑卒中亚急性期患者160例,分别采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、微型营养评估量表(MNA)、健康调查量表(SF-36)评估焦虑、抑郁、营养状态及生活质量,分析卒中后焦虑抑郁共病(PSCAD)与营养状态客观指标及MNA、SF-36的关系。采用SPSS 22.0软件进行数据分析。根据数据类型,组间比较分别采用t检验、秩和检验及χ^(2)检验。结果160例患者HAMA得分(15.57±3.67)分,HAMD得分(13.54±4.23)分,56例判定为PSCAD;PSCAD组体质量指数、上臂肌团周径、前白蛋白、NMA评分低于非PSCAD组(P<0.05),两组NMA分级差异有统计学意义(P<0.05);PSCAD组SF-36量表体力、身体疼痛、一般健康、活力、社会功能、情感功能、心理健康均低于非PSCAD组(P<0.05);Pearson相关性分析显示,HAMA、HAMD与NMA、体力、身体疼痛、一般健康、活力、社会功能、情感功能、心理健康评分均呈负相关(P<0.05)。结论老年急性脑卒中患者中存在PSCAD的患者其机体营养状态和生活质量多个维度受明显影响,焦虑、抑郁情绪与营养状态及生活质量密切相关。

Objective To analyze the correlation between emotional disorders and body nutrition and quality of life in the elderly after acute stroke.Methods A total of 160 elderly patients with acute stroke in subacute stage were included in the Second Affiliated Hosoital of Xi′an Jiaotong University from March 2021 to June 2023.The Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),mini nutritional assessment(MNA),and MOS 36-item short-form health survey scale(SF-36)were used to evaluate anxiety,depression,nutritional status and quality of life respectively.The relationship between post-stroke comorbid anxiety and depression(PSCAD)and objective indicators of nutritional status,MNA and SF-36 was analyzed.SPSS 22.0 was used for statistical analysis.Data comparison between two groups was perfomed using t test,Rank sum test orχ^(2) test,depending on data type.Results The 160 patients scored(15.57±3.67)points on HAMA and(13.54±4.23)points on HAMD,and 56 were classified as having PSCAD.Body mass index,upper arm muscle mass circumference,prealbumin and NMA score in the PSCAD group were lower than those in the non-PSCAD group(P<0.05).The difference between the two groups in NMA grading was statistically significant(P<0.05).The PSCAD group scored lower in physical strength,physical pain,general health,vitality,social function,emotional function,and mental health of SF-36 scale than the non-PSCAD group(P<0.05).Pearson correlation analysis showed that HAMA and HAMD were negatively correlated with NMA,physical strength,physical pain,general health,vitality,social function,emotional function,and mental health(P<0.05).Conclusion The nutritional status and quality of life of the elderly patients with acute stroke and PSCAD are significantly affected in multiple dimensions.Anxiety and depression are closely related to nutritional status and quality of life.