颅脑损伤患者康复期抑郁情绪及相关因素分析

目的对颅脑损伤患者康复期抑郁及其相关因素进行探讨。方法对111 例颅脑损伤康复期患者，采用一般情况调查问卷进行调查，用汉密尔顿抑郁量表(HAMD)评定抑郁情绪，比较分析患者一般资料和病情与HAMD评分的关系。结果本组患者中，HAMD 评分≤7 分27 例(24.32%)，8～17 分31 例(27.93%)，≥18 分53 例(47.75%)；HAMD 评分与患者年龄、文化程度、职业、经济状况、有无经济赔偿以及受伤原因有关联(P<0.05)，但与患者性别、婚姻状况、户籍地、损伤程度、病程和昏迷时间无关联(P>0.05)；多元回归分析，仅经济状况(x₁)、文化程度 (x₂)和经济赔偿(x₃) 3 个因子进入逐步回归方程：y=22.782-6.879x₁+2.357x₂+3.54x₃ (F=75.609, P=0.000).。结论颅脑损伤患者在康复期普遍存在抑郁情绪，经济状况较差、文化程度较高、无经济赔偿患者，抑郁程度相对较重。

Analysis of Depression and Related Factors for Patients with Craniocerebral Injury during Rehabilitation

Objective To explore the depression and its related factors of the patients with craniocerebral injury during rehabilitation.Methods 111 patients with craniocerebral injury were investigated with the questionnaire about general condition.They were assessed with Hamilton Rating Scale for Depression(HAMD).The relationship between the general condition and the score of HAMD were analyzed.Results There were 27 cases(24.32%) with score of HAMD≤7,31 cases(27.93%) with the score from 8 to 17 and 53 cases(47.75%) with the score≥18.The score of HAMD was significantly related to the patients’ age,education,profession,economy status,economic compensation and the cause of injury(P<0.05).However,it was not related to the sexuality,marital status,registered residence,level of the injury,the course of disease and the coma time(P>0.05).Only economy state(x1),education(x2) and economic compensation(x3) entered into the regression equation by multiple regression analysis: y=22.782-6.879x1+2.357x2+3.54x3(F=75.609,P=0.000).Conclusion Patients with craniocerebral injury generally depress during rehabilitation.The patients with a worse economy state,a higher education and no economic compensation appear more serious depression.