脑卒中患者领悟社会支持与抑郁发生的相关性研究

Correlation study between comprehension of social support and occurrence of depression in patients with stroke

目的探讨脑卒中患者领悟社会支持与抑郁发生的相关性,为脑卒中患者的心理支持提供依据。方法收集患者的一般资料,采用患者健康问卷抑郁量表(PHQ-9)、领悟社会支持量表(PSSS)、社会支持利用度量表,对诊断为脑卒中且住院1周以上的脑卒中患者进行调查,其中33例发生抑郁的作为发生组,40例未发生抑郁的作为未发生组。比较两组患者的领悟社会支持得分和社会支持利用度得分,分析患者的性别、年龄、文化程度、就业情况、个人月收入和自理能力,确定影响脑卒中患者抑郁发生的影响因素,采用多因素logistic回归分析确定卒中后抑郁发生的相关因素。结果两组自理能力比较,差异有统计学意义(P<0.05),两组领悟社会支持得分中,朋友支持得分比较,差异有统计学意义(P<0.05),社会支持利用度得分中,友情支持得分比较差异有统计学意义(P<0.05)。脑卒中患者抑郁发生与自理能力、朋友支持、友情支持利用度相关(P<0.05)。结论对脑卒中患者应多给予社会支持,社会支持利用度越高,抑郁的发生率越低。对于抑郁患者,医护人员应动员患者的家庭、朋友及其人际关系中的社会支持系统多来探望,给予其精神上的关心与支持,为其提供良好的社会支持康复网络,促进患者的身心健康。

Objective To explore the correlation between the comprehension of social support and the occurrence of depression in patients with stroke,and to provide a basis for the psychological support of patients with stroke.Methods We Collected general information of patients,used patient health questionnaire-9(PHQ-9),perceived social support scale(PSSS),and measure scale of social support utilization to investigate patients diagnosed with stroke and hospitalized for more than 1 week,of which 33 cases of depression occurred as the occurrence group,40 cases of those who did not experience depression were regarded as no-occurred group.The score of social support and score of social support utilization of patients were compared between the two groups to analyze the gender,age,education level,employment status,personal monthly income and self-care ability of the patients for determining the influencing factors of the occurrence of depression in patients with stroke.Multi-factor logistic regression analysis was used to determine the factors related to the occurrence of depression after the occurrence of stroke.Results The difference in self-care ability between the two groups was statistically significant(P<0.05).In the scores of comprehending social support in two groups,the comparative difference of friend support scores was statistically significant(P<0.05),and in the scores of utilization degree of social support in the two groups,the comparative difference of friendship support scores was statistically significant(P<0.05).The occurrence of depression in stroke patients was related to self-care ability,friend support,and utilization of friendship support(P<0.05).Conclusion Stroke patients should be given more social support.The higher the utilization of social support,the lower the incidence of depression.For depression patients,medical staff should mobilize the family,friends and social support systems in their relationships to visit them,give them spiritual care and support,provide them with a good social support rehabilitation network,and promote their physical and mental health.