卒中后患者情绪障碍及其影响因素调查

Investigation on mood disorder and its influencing factors in post-stroke patients

目的调查分析卒中后患者情绪障碍并探索其影响因素。方法采用整群抽样法随机抽取南充市市辖社区由三甲医院确诊为卒中的患者183例,用调查问卷及汉密尔顿焦虑、抑郁量表进行分析。结果 (1)南充市市辖社区卒中患者焦虑的发病率为88.5%,抑郁的发病率为94.0%;(2)经分析发现,年龄、婚姻状况和合并疾病因素对焦虑、抑郁得分影响显著(P<0.05);性别、学历、职业、病程、家庭月收入和是否接受健康教育等因素对焦虑、抑郁得分影响不明显(P>0.05);(3)进一步经多元线性回归分析,排除各因素间的相互影响后发现,影响社区卒中患者焦虑的主要因素是年龄和合并疾病,而影响社区卒中患者抑郁的主要因素是婚姻状况、年龄和合并疾病。结论社区卒中后焦虑、抑郁发病率较高。社区卒中患者发生焦虑、抑郁的主要因素是高龄和合并多种慢性疾病。

Objective To survey and analyze the mood disorder in post-stroke patients and to investigate its influencing factors. Methods The stratified sampling method was adopted to randomly extract 183 cases of stroke definitely diagnosed by the class 3A hospital in the Nanchong municipal administered communities and performed the questionnaire survey. The obtained data were analyzed by using the Hamilton depression scale and Hamilton anxiety scale. Results（1）The incidence rate of anxiety and depression in community post-stroke patients were 88.5% and 94.0% respectively;（2）the analysis results found that the factors of age,marital status and comorbidities significantly influenced the scores of anxiety and depression（P0.05）;the factors of gender,education background, profession,disease course,family monthly income and whether receiving the health education had no obvi ous influence on the anxiety and depression scores（P0.05）;（3）Excluding the mutual influence of various factors by the further multivariate linear regression analysis found that the main factors influencing anxiety in community post-stroke patients were age and comorbidities,while which influencing depression were the marital status,age and comorbidities. Conclusion The incidence of anxiety and depression in community post-stroke patients are higher;the main factors of anxiety and depression occurrence in community post-stroke patients are advanced age and complicating multiple chronic diseases.