脑卒中后偏瘫患者心理健康状况及相关因素

Mental health status of patients with hemiplegia after stroke and related factors

目的:分析脑卒中后偏瘫患者心理健康状况及其影响因素。方法:选取2013年5月-2016年10月我院收治的98例脑卒中后偏瘫患者作为研究对象,入院后均采用自拟一般资料调查表对患者基线情况调查,应用症状自评量表(SCL-90)评定患者心理健康状况,采用单因素及多因素Logistic回归分析筛选导致脑卒中后偏瘫患者出现心理问题的相关因素。结果:本组调查98例患者,心理问题发生率为47.96%,男性、年龄≥60岁、家庭月收入<2000元、合并基础疾病、出血性病变、重度神经功能损害程度、肢体运动功能分期为1~3期及社会支持评分<20分脑卒中偏瘫患者心理问题检出率较高(χ~2=19.800,5.760,12.647,7.478,7.903,7.025,19.722,16.221;P<0.05);家庭月收入、合并基础疾病、病变性质、神经功能损害程度、肢体运动功能分期、社会支持评分均为导致脑卒中后偏瘫患者发生心理问题的危险因素(OR=2.596,2.563,2.540,3.469,2.565,2.221;P<0.05)。结论:脑卒中后偏瘫患者心理问题发生率较高,且家庭月收入较低、合并基础疾病、出血性脑卒中、严重神经功能损害、肢体运动功能分期较低且社会支持评分较低的患者心理问题发生率较高。

Objective:To analyze the mental health status of patients with hemiplegia after stroke and its influencing factors.Methods:A total of 98 patients with hemiplegia after stroke who were admitted to our hospital during the period from May 2013 to October 2016 were selected as subjects.The baseline situation of patients was investigated with the self-made general information questionnaire,and the mental health status was evaluated with the symptom checklist(SCL-90).Related factors for psychological problems in patients with hemiplegia after stroke were screened by univariate and multivariate Logistic regression analysis.Results:The incidence of psychological problems in this study was 47.96%,and the detection rates of psychological problems were relatively higher in male patients,patients who were or older than 60 years old,patients whose family income was less than 2000 yuan,patients with underlying diseases,patients with hemorrhagic lesions,patients with severe neurological damage,patients whose limb movement function stage was stage 1~3 and patients whose social support score was lower than 20 points(χ~2=19.800,5.760,12.647,7.478,7.903,7.025,19.722,16.221;P<0.05).Family income,underlying diseases,character of lesions,degree of neurological damage,limb movement function stage and the social support score were risk factors for psychological problems in patients with hemiplegia after stroke(OR=2.596,2.563,2.540,3.469,2.565,2.221;P<0.05).Conclusion:The incidence of psychological problems is relatively higher in patients with hemiplegia after stroke.Besides,the incidence is relatively higher in patients with low family income,patients with underlying diseases,patients with hemorrhagic stroke,patients with severe neurological impairment,patients with lower limb movement function stage and lower social support score.