老年脑卒中患者注意力水平现状及影响因素研究

Analysis of current status and influencing factors of elderly stroke patients'attention

目的探讨老年脑卒中患者的注意力水平及影响因素。方法选取2019年9月~2020年9月河北省唐山市某三甲医院神经外科、神经内科住院的178例60岁以上的老年脑卒中患者为研究对象,应用匹兹堡睡眠质量指数量表(PSQI)、医院焦虑抑郁量表(HAD)、蒙特利尔认知评估量表(MoCA)等研究工具进行调查研究。使用SPSS 25.0统计软件进行统计分析。结果研究结果显示:性别、是否饮酒、睡眠质量、有无焦虑、有无抑郁、卒中类型、是否有认知功能障碍是卒中后老年人注意力障碍的主要影响因素。结论老年脑卒中患者注意力障碍发生率较高,且男性、平常习惯饮酒、睡眠质量差、有焦虑、抑郁、及缺血性脑卒中并有认知功能障碍的老年脑卒中患者更易发生注意力障碍。

Objective To explore the attention level and influencing factors of elderly stroke patients.Methods From September 2019 to September 2020,178 elderly stroke patients over 60 years old who were hospitalized in the Department of Neurosurgery and Neurology of a grade A hospital in Tangshan City,Hebei Province were selected as the research objects.Pittsburgh Sleep Quality Index(PSQI)and hospitals were used.Research tools such as the Anxiety and Depres⁃sion Scale(HAD)and the Montreal Cognitive Assessment Scale(MoCA)were used for investi⁃gation and research.Use SPSS 25.0 statistical software for statistical analysis.Results The re⁃sults of the study showed that gender,drinking alcohol,sleep quality,anxiety,depression,stroke type and cognitive impairment were the main influencing factors for attention disorders in the elderly after stroke.Conclusion This study found that the research subjects had a higher inci⁃dence of attention disorders,and older stroke patients who were men,usually drinking alcohol,poor sleep quality,anxiety,depression,and ischemic stroke with cognitive impairment were more likely to have attention dysfunction.