中风患者康复过程中有关社会心理因素的影响

The influence of psychosocial factors on the rehabilitation of the stroke survivor

目的 探索社会心理因素对中风幸存者身心康复的影响。方法 采用横断面调查的方法对中风后 1年内的不同病程阶段的 2 0 5例中风幸存者及其 2 16例正常对照者以 ANFDD及 FAID、SDS、DIS、SAS、U L S、SSRS、FACESII— CV及得克萨斯社会行为问卷 (TSBIA及 TSBIB)、补充综合问卷等为工具进行随访观察。数据由 SPSS软件进行统计分析。结果 发现抑郁、焦虑及孤独等情感障碍 ,尤其是抑郁反应是中风幸存者身心康复过程中的重要负面影响因素 ,社会支持 (尤其是主观支持及支持利用度 )、家庭功能状况 (尤其是家庭实际适应性 )与中风幸存者的康复 ,尤其是家庭社会活动的恢复具有明显的正相关性。结论 心理社会因素对中风幸存者的康复有明显影响。

Objective To explore the influence of psychosocial factors on the rehabilitation of the stroke survivor after stroke Methods By using ANFDD and FAID,SDS, DIS, SAS,UCLA Loneliness Scale , SSRS, FACESII CV, TSBI and Supplementary Synthetical Questionnaire, we investigated 205 survivors of stroke at different stages from 1 month to 1 year and 216 normal controls Using SPSS for statistics Results We found that the mood and sensibilities problemes of depression, anxiety and loness etc (especially of depression) have a negative impact on the rehabilitation of the survivor of stroke; the functional status of family(especially of the actual adaptability) have a obvious positive correlation.Conclusion Psycosocial factors have a obvious influence on the rehabilitation of the stroke survivor after stroke