社区脑卒中患者抑郁与日常生活活动能力的相关性研究

Study on the relationship between depression and ADL of stroke patients

目的探讨社区脑卒中患者抑郁与日常生活活动能力的相关性及日常生活活动能力的影响因素。方法随机抽取郑州市5个社区的脑卒中患者共146例,分别用抑郁自评量表(Self-rating Depression Scale,SDS)和Barthel指数评定量表测评脑卒中患者的抑郁水平和日常生活活动能力(Activity of daily living,ADL)。结果社区脑卒中患者抑郁得分处中等水平(40.48±10.69分),抑郁发生率为44.5%;日常生活活动能力得分较高(74.45±31.21分),整体处于良好水平。相关分析显示抑郁与ADL呈负相关(r=-0.402,P<0.01);多元回归分析显示影响脑卒中患者ADL的因素有抑郁水平、是否接受过康复指导、中风次数及患者年龄。结论抑郁会阻碍脑卒中患者日常生活活动能力的提高,医护人员应该在脑卒中发作后及时改善抑郁状况,给予医院及社区康复指导,提高脑卒中患者回归社区后的日常生活活动能力。

Objective To investigate the relationship between depression and ADL and influencing factors in stroke patients.Methods Five communities in Zhengzhou City were randomized selected,and totally 146 stroke patients were included in study.SDS and Barthel index scale were used to evaluate the depression level and ADL of stroke patients.Results The community stroke depression level was at the middle level（40.48±10.69）,and the depression rate was 44.5%;activities of daily living score was（74.45±31.21）,overall in good level.Correlation analysis showed a negative correlation between depression and ADL（r=-0.402,P0.01）;multiple regression analysis showed that the factors affecting the stroke patients＇ ADL level were depression,whether received rehabilitation guidance,stroke time and age.Conclusion Depression in stroke patients may hinder the improvement of activities of daily living.Health care workers should be improved attention after stroke onset depression,and give stroke patients the rehabilitation guidelines in hospitals and communities,and improve the ability of return to the community after stroke.