脑卒中住院患者负性情绪及其影响因素研究

Study on Negative Emotion and Relative Factors in Patients with Stroke

目的探讨脑卒中住院患者负性情绪及其影响因素。方法选择180例脑卒中住院患者,用负性情绪评定量表(激惹、抑郁和焦虑自评量表,IDA)、匹兹堡睡眠质量指数量表(PSQI)和美国心脏病学会卒中结局评价量表(AHA.SOC)进行调查。结果 180例脑卒中住院患者中,负性情绪(激惹、焦虑和抑郁)在性别、性格、卒中性质、睡眠质量和卒中结局的功能状态方面比较,差异均有统计学意义(P<0.05)。多重线性回归分析显示,脑卒中住院患者的负性情绪与其性格、功能状态水平和PSQI得分有关。结论医护人员应高度重视卒中后患者的情绪障碍对疾病康复和疗效的影响,从多维度进行干预来改善患者的负性情绪,以促进其早日康复。

Objective To explore the negative emotion and relative factors in-patients with stroke.Methods 180 stroke patients were investigated with Negative Emotion Scale（irritability,anxiety and depression IDA）,Pittsburgh sleep quality index（PSQI） and AHA Stroke Outcome Classification（AHA.SOC）.Results Among the 180 stroke cases,there were statistic difference on gender,character,the type of stroke sleep quality and functional status（P0.05）.By multiple regression analysis,the negative emotion is also associated with character,functional status and the PSQI scores.Conclusion The health-care professionals should attach great importance to the influence of the emotion disorder,and the multi-dimensional intervention was taken to improve negative mood in-patients and promote earlier recovery.