卒中后抑郁与患者生活能力和社会支持的相关性

The Correlation between Post-stoke Depression and Patients' Activity of Daily Living,Social Support

目的对脑卒中首发患者康复期抑郁状况及其与生活能力和社会支持的关系进行探讨,进一步干预、积累临床资料。方法对100例首发脑卒中康复期患者,采用一般情况调查表进行调查,用抑郁自评量表(SDS)、日常生活能力量表(ADL)和社会支持量表(SSRS)进行测评,分析患者SDS评分与ADL、SSRS评分的关系。结果本组患者SDS评分显著高于国内常模(t=9.645,P=0.000),SDS评分阳性率为44%。SDS评分与ADL评分呈显著正相关(r=0.344,P=0.000),与SSRS的主观支持、支持利用度两个因子分及总分存在显著负相关(r=-0.210、-0.699和-0.518;P=0.036,0.000和0.000),但与客观支持因子分无明显相关(r=-0.120,P=0.235)。结论脑卒中首发患者康复期抑郁情绪的发生率较高,日常生活能力有障碍,社会支持较差,特别是主观支持较差、对支持利用不足的患者更易发生抑郁且程度更重。

Objective To explore the depression condition of the first-attack patients with stoke in rehabilitation stage and its relationship with activity of daily living and social support,and accumulate clinical data for further intervention.Methods A total of 100 cases of the first-attack patients with stoke in rehabilitation stage were investigated with the questionnaire about general condition and were evaluated with the Self-Rating Depression（SDS）,the Activity of Daily Living Scale（ADL）and the Social Support Rating Scale（SSRS）.And the relationship between the scores of SDS and those of ADL and SSRS in the group was analyzed.Results The score of SDS in the group was significantly higher than the Chinese norm（t=9.645,P=0.000）.The positive rate of SDS was 44%.The score of SDS was significantly related positively to that of ADL（r=0.344,P=0.000）and negatively to that of the subjective support and the using support and all that of SSRS（r=-0.210,-0.699,-0.518,P=0.036,0.000 and 0.000）.However,it was not significantly related to that of the objective support of SSRS（r=-0.120,P=0.235）.Conclusion The first-attack patients with stoke have generally a depressed mood in rehabilitation stage.The rate of depressive disorder is rather high.The worse the patient＇ activity of daily living and social support are,the subjective support and the using support especially,the more easily the depression takes place and the more serious it is also.