脑卒中后患者抑郁状态及其与社会支持的相关研究

Relevant analysis of the depression and the relationship with social supports for patients with post-stroke

目的探讨脑卒中后患者抑郁状态及其与社会支持的关系。方法采用抑郁自评量表(SDS),艾森克人格测定(EPQ),社会支持评定量表(SSRS)对100例住院脑卒中患者进行测评,并对伴有与不伴有抑郁状态的脑卒中患者进行一般情况对照。结果100例中有56例脑卒中患者存在抑郁症状(占56%),SDS评分均值为42.90±8.81;伴有与不伴有抑郁状态的脑卒中患者在年龄、性别、个性、经济来源、疾病恢复程度与是否伴有其他慢性疾病比较差异有显著意义,而在婚姻状况及文化程度上比较无统计学意义。脑卒中患者较正常人获得的社会支持水平高(P<0.01);其抑郁症状的严重度与社会支持呈负相关关系(r=-0.779,P<0.01);结论脑卒中患者伴发的抑郁状态与其年龄、性别、个性、经济来源、疾病恢复程度及是否伴有其他慢性疾病有关,抑郁症状的严重度也与社会支持密切相关,应该重视社会支持系统对改善脑卒中患者抑郁状态与作用,以提高其生活质量。

Objective To study the relationship of depression and soeial supports for patients with post-stroke. Method 100 hospitalized stroke patients were evaluated with SDS, EPQ and SSRS and Contrast study for the stroke patients with or without the depression was conducted as control. Result 56 stroke patients with depressive symp- toms was found out of 100 surveyed patients （take up 56~）, the SDS mean score for 42.90±8.81. There were significant differences between the stroke patients with and without depression in some respects; such as age, sex, personality, source of income, recovery of the disease and with other chronic diseases. And the comparison of marital status and educational level is not significant different. The stroke patients get higher social supports level than normal person（P〈0. 01） ;The correlation of severity of the depression symptoms and social support was a negative （r= -0. 779, P〈0.01）. Conclusion Stroke patients with depression associated with their age, sex, personality, financial resources, recovery of the disease and with other chronic diseases. The severity of the symptoms of depression also closely related to social supports. We should attach importance to improvement the stroke patients depression by social support, and to improve their quality of life.