脑卒中患者急性应激障碍及影响因素研究

Acute stress disorder and its influencing factors in stroke patients

目的探讨脑卒中患者急性应激障碍发生现状及影响因素。方法采用斯坦福急性应激反应问卷对349例脑卒中住院患者进行调查。结果共163例(46.70%)患者发生急性应激障碍;Logistic回归分析结果显示,患者性格、是否存在偏瘫及是否吞咽功能障碍是脑卒中患者发生急性应激障碍的主要影响因素(P<0.05,P<0.01)。结论脑卒中患者急性应激障碍发生率较高,内向性格及存在偏瘫和吞咽功能障碍的患者更容易发生急性应激障碍。医护人员应及时为高危患者提供个体化治疗及预见性护理,防止脑卒中患者发生急性应激障碍。

Objective To explore the status and influencing factors of Acute Stress Disorder(ASD)in stroke patients.Methods Three hundred and forty-nine hospitalized patients with stroke were investigated using Stanford Acute Stress Response Questionnaire(SASRQ).Results A total of 163(46.70%)patients developed ASD.Logistic regression analysis results showed that,patient′s personality,whether existing hemiplegia and swallowing dysfunction were the main influencing factors of ASD in stroke patients(P<0.05,P<0.01).Conclusion The incidence rate of ASD in stroke patients is high,the patients with introverted personality and presenting hemiplegia and swallowing dysfunction are prone to suffer ASD.Medical staff should provide individual treatment and predictive care for high-risk patients in time,in order to prevent patients developing ASD.