社会支持与家庭功能对老年脑梗死患者抑郁情绪的影响

Impact of social support and family function on depression in elderly patients with cerebral infarction

目的了解老年脑梗死患者社会支持、家庭功能和抑郁情况,探讨其相关性,并分析影响抑郁发生的因素。方法2015年1~11月采用社会支持评定量表(SSRS)、家庭功能评定量表(APGAR)和抑郁自评量表(SDS)对湛江市某三甲医院215例老年脑梗死患者进行调查分析。结果215例老年脑梗死患者抑郁发生率为51.16%,其中无抑郁占48.84%,轻度抑郁占37.21%,中度抑郁占13.95%。社会支持总分(38.70±8.76)分,客观支持得分(8.89±3.54)分,主观支持得分(22.60±5.47)分,对支持的利用度得分(7.20±1.75)分;家庭功能良好122例(56.75%),家庭功能中度障碍65例(30.23%),家庭功能重度障碍28例(13.02%),家庭功能得分(6.73±2.54)分;社会支持总分、主观支持得分、客观支持得分和支持利用度得分均为非抑郁组高于抑郁组(P<0.05)。多因素Logistic回归分析显示脑梗死患者抑郁的影响因素为性别[OR=2.02(1.09~3.75)]和主观支持[OR=0.90(0.85~0.95)]。结论老年脑梗死患者抑郁发生与社会支持存在相关,影响因素为主观支持水平和性别,提高主观支持水平有利于降低脑梗死患者抑郁的发生率。

Objective To understand the status of social support, family function and depression in elderly patients with cerebral infarction,and explore the correlation between them,and analyze the factors which will contribute to depression occurrence. Methods A total of 215 elderly patients with cerebral infarction were investigated by social support rating scale （SSRS）,family APGAR index（APGAR） and self-rating depression scale（SDS） in a general hospital of Grade 3 in Zhanjiang city, January-November, 2015. Results Among the 215 patients, the prevalence rate of depression was 51.16 % ,including 37.21% with mild depression and 13.95 % with moderate depression. The total scores of social support were 38.70 ± 8.76, objective support was 8. 897 ± 3.54, subjective support was 22.60 ±5.47 and the utility of support was 7.20± 1.75. There were 122（56.75 %） patients with good family function, 65 （30.23 % ） patients with moderate disability family function and 28（13.02 %） patients with severe disability family function, while the scores of family function were 6.73±2.54. Among the total scores of social support, subjective support, objective support and the utility of support, those of the patients without depression were higher than those of the patients with depression （ P 〈0.05）. Multiple Logistic regression analysis showed that gender[ OR = 2. 021 （1.09-3.75）]and subjective support[OR = 0. 90 （0. 85-0. 95）] were the influencing factors of depression in patients with cerebral infarction. Conclusion The depression of elderly patients with cerebral infarction is related to social support and the influencing factors are subjective support level and gender; is beneficial to increase the level of subjective support to reduce the incidence of cerebral infarction patients with depression.