脑卒中后抑郁对日常生活活动中功能独立性的影响

目的观察脑卒中后抑郁(PSD)对日常生活活动中功能独立性的影响.方法2018年1月至2018年6月脑卒中患者66例,对患者进行社会人口学特征评估.使用汉密尔顿抑郁量表(HAMD)和日常生活活动量表Barthel指数(BI)分别评估卒中后抑郁和日常生活活动中的功能恢复水平.结果>80%患者患有抑郁症,>50%患者严重抑郁.脑卒中后抑郁与日常生活活动的功能独立性较低有关(P<0.001),有抑郁患者与无抑郁患者功能独立性程度差异有统计学意义(P<0.001).结论PSD患者在日常生活活动中的独立性较低.

Objective To observe the exact efect of post- stroke depression ( PSD ) on functional independence in daily life activities.Methods A total of 66 stroke patients from January 2018 to June 2018 were included in the study, and the socio- demographic characteritics of thepatients were asessed. The Hamilton deression scale ( HAMD ) and Barthel index ( BI ) were used to evaluate PSD and the level of functional recoveryin daily life activities, respectively. Results More than 80% ( 56 ) of the patients were depressed, and more than 50% ( 32 ) were severely depressed.PSD was associated with lower functional independence of activities of daily living ( P-0.000),and there was a significant dilrerence in the degreeof functional independence between patients with depression and patients without depression ( P=0.00) . Conclusion Patients with PSD have lowerindependence in activities of daily living.