日常生活能力和社会支持对脑梗死患者负性情绪的影响

被引:18
作者
张晓强
刘婷
赵丽娟
机构
[1] 四川省江油市人民医院
关键词
脑梗死; 抑郁情绪; 日常生活能力; 社会支持;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
目的探讨脑梗死患者日常生活能力、社会支持对其抑郁情绪的影响。方法选取485例脑梗死患者,采用日常生活活动能力量表(Barthel指数)、社会支持量表和抑郁自评量表(SDS)对其进行评估。结果SDS>53分的患者共有者216例(44.5%,216/485)。日常生活能力受损患者的抑郁发生率(53.6%,82/153)显著高于日常生活能力正常患者(40.4%,134/332),χ2=7.425,P=0.006。SDS得分与Barthel指数呈负相关(r=-0.268,P=0.0001),与客观支持(r=-0.212,P=0.0001)、主观支持(r=-0.209,P=0.0001)、对社会支持的利用度(r=-0.237,P=0.0001)以及社会支持总分(r=-0.241,P=0.0001)均呈负相关。婚姻状况(^OR=1.786)、Barthel指数(^OR=2.993)和社会支持(^OR=3.087)均是脑梗死患者抑郁情绪的影响因素。结论日常生活能力受损、社会支持低下、单身或丧偶的脑梗死患者易出现抑郁情绪。
引用
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页码:105 / 108
页数:4
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