社区卒中后患者一般状况与抑郁发生的关系分析

Correlation between general condition and post-stroke depressive disorder in community patients

目的探讨社区卒中后患者的一般状况、社会支持度与抑郁发生的相关性。方法 126例社区脑卒中患者按汉密尔顿抑郁量表(HAMD)评分分为无抑郁障碍组与抑郁障碍组,比较2组患者一般情况与社会支持度。结果抑郁障碍组女性、中学或以上教育程度、有血管性危险因素的比例高于无抑郁障碍组(P<0.01或P<0.05);抑郁障碍组家庭人均月收入>2 000元的比例低于无抑郁障碍组(P<0.05);抑郁障碍组患者总的社会支持度低于无抑郁障碍组患者(P<0.05),其中主观支持分、对支持的利用度差异有统计学意义(P<0.05或P<0.01)。结论卒中后抑郁(PSD)是脑卒中常见的并发症,为多因素共同作用的结果。患者的性别、教育程度、家庭经济状况、血管性危险因素及社会支持度可能影响社区脑卒中患者抑郁的发生。

Objective To investigate the correlation between general condition （gender, age,level of education, family income,vascular risk factors and smoking and alcohol drinking history）and post-stroke depressive disorder in community patients. Methods Total of 126 post-stroke patients completed the Hamilton Depression Rating Scale （HAMD）. Based on HAMD score ,the cases were divided into two groups, Post-stroke depression （PSD） and non-PSD group. Compared with the datas of the two groups. Results The incidence rate of PSD was 35.7%. Female, high school or above education level and vascular risk factors were more prevalence in the PSD group （P〈0.01 ,P〈0.05）. The income of average family which was over2 000 yuan per month were more prevalence in the non-PSD group （P〈0.05）. The total scores of SSRS was higher in non-PSD group （P〈0.05）. The scores of Subjective support and Availability of support in non-PSD group were higher than that in PSD group （P〈0.05 ,P〈0.01 ）. Conclusion PSD is a common complication of cerebrovascular disease. It is a result of multiple factors, gender ,level of education,income,vascular risk factors and Social Support might be more likely to suffer from PSD.