摘要
目的:了解脑卒中患者出院时的抑郁状况及其影响因素,为患者开展连续性的脑卒中康复提供依据。方法:对100例神经内科出院的脑卒中患者,采用抑郁自评量表(SDS)、日常生活能力量表(ADL)、简易智能精神状态检查量表(MMSE)进行测查。结果:脑卒中患者出院时抑郁患者为38例(38%);单因素分析显示,工作性质、住院时间、脑血管病史、脑卒中次数、日常生活能力、认知功能与患者抑郁状态有关(P<0.05);Logistic多因素回归分析显示,日常生活能力是脑卒中患者抑郁的独立危险因素(P<0.01)。结论:脑卒中出院患者的抑郁状况应引起医务人员的高度重视,出院后特别加强日常生活能力康复及心理康复,有助于患者抑郁状态的改善,提高其生活质量。
Objective：To investigate prevalence of depression and its correlates in patients with stroke at discharge.Methods：100 patients with stroke were selected,at discharge from department of neurology and examined with tests included Self-Rating Depression Scale （SDS）,Activities of Daily Living S tale （ADL） and Mini-Mental State Examination（MMSE）.Results：Prevalence of depression in the sample was 38%;The univariate analysis showed that the status of depression at discharge from stroke unit were correlated significantly with factors like occupation,length of hospitalization,frequency of stroke,personal history of stroke（P〈0.05）;The patients＇ADL and MMSE were associated with depression status（P〈0.05）;Multivariate Logistic regrssion analysis indicated that the status of depression was indepedndently associated with ADL（P〈0.01）,only patients＇ADL was shown to be the risk factor.Conclusion：Patients with stroke at discharge should be screened for depression and it should be more attentive to these factors for the treatment and management of depression.
出处
《中国医药导刊》
2011年第3期525-527,共3页
Chinese Journal of Medicinal Guide
关键词
脑卒中
认知功能
抑郁
日常生活能力
Stroke
Depression
Activities of Daily Living
Cognitive function
