| 高 霞,高 磊,马 钊,张雯雯,杨恩权,李光乐,李 振,金惜玲.慢性期脑卒中患者抑郁状态的发生率及相关因素[J].中国康复医学杂志,2012,27(4):339~343 |
| 慢性期脑卒中患者抑郁状态的发生率及相关因素 点此下载全文 |
| 高 霞 高 磊 马 钊 张雯雯 杨恩权 李光乐 李 振 金惜玲 |
| 北京医院康复科，100730 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2081 |
| 全文下载次数: 2618 |
| 摘要： |
| 摘要
目的：调查慢性脑卒中患者卒中后抑郁（PSD）情况及其影响因素。
方法：对北京望京社区78 例首次发病、病程1年以上脑卒中患者采用汉密尔顿抑郁量表 (HAMD)进行抑郁状况调查，同时评测运动功能(Fulg-Meyer)、生存质量（SF-36）、日常生活自理能力（Barthel指数），收集患者的年龄、性别、文化程度、家庭收入等人口学特征和脑卒中并发症等疾病相关内容，并进行单因素相关分析。
结果：病程1年以上脑卒中患者PSD发生率为57.7%。 其中，轻度抑郁35.9%，中度抑郁11.5%,重度抑郁10.3%。单因素分析显示人均月收入、年龄、运动功能、日常生活活动能力水平、SF-36精神健康和SF-36躯体健康6个因素与患者抑郁评测总积分有相关性（P<0.05）。
结论：脑卒中慢性阶段患者运动功能、日常生活活动能力、年龄、家庭人均月收入是脑卒中后抑郁主要影响因素。随着病程的延长抑郁发生率无显著性改变。卒中后抑郁降低了脑卒中慢性期患者的生存质量。 |
| 关键词：脑卒中 抑郁状态 汉密尔顿抑郁量表 生存质量 日常生活活动 |
| Incidence and related factors of post-stroke depression in patients with stroke at chronic stage Download Fulltext |
|
| Department of Rehabilitation Medicine Beijing Hospital, Beijing，100730 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To investigate the incidence and related factors of post-stroke depression (PSD) in patients with stroke at chronic stage.
Method: Seventy-eight stroke survivors of Beijing Wangjing community were respectively assessed with Hamilton depression rating scales (HAMD)、QOL（SF-36）, Fugl-Meyer motor assessment, Barthel index (BI), after their first episode more than one year. Their social demographic characteristics, such as age, gender, education, income and characteristics of disease were recorded
Result: The incidence of PSD patients with more than one year course of stroke was 57.7%. The incidences of mild, moderate and severe depression were 35.9%,11.5% and 10.3%, respectively. Correlation analysis showed income，age，motor impairment，ability of activities of daily living(ADL) level, QOL level of psycho-and body-health were correlated with the total assessment scores of depression (P<0.05).
Conclusion: The major factors affecting PSD were level of movement function (Fugl-Meyer scale), ADL level , age and level of family income. The prolongation of disease course didn't change the incidense of depression significontly. PSD may reduce the level of QOL of stroke patints at chronic stage. |
| Keywords:stroke depression Hamilton depression rating scale quality of life activities of daily living |
|
| 查看全文 查看/发表评论 |
|
|
|
|
|
