脑卒中后抑郁患者的生活质量及其与应对方式和社会支持的关系

目的探讨脑卒中后抑郁患者的生活质量及其与应对方式、社会支持的关系。方法采用生活质量综合评定问卷（GQOLI），医学应对问卷（MCMQ）、社会支持评定量表（SSAS）对50名脑卒中后抑郁患者（研究组）和50名健康志愿者（对照组）进行测评。结果研究组生活质量总分及躯体功能、心理功能、社会功能评分均显著低于对照组；MCMQ评定，面对分量表评分显著低于对照组，而屈服分量表评分则显著高于对照组；SSAS总分及客观支持、主观支持、支持利用度评分均显著低于对照组；脑卒中后抑郁患者的生活质量总分及躯体功能、心理功能、社会功能3个维度评分与面对分量表评分及社会支持总分、客观支持、主观支持、支持利用度均呈显著正相关，而与屈服分量表评分则呈显著负相关。结论脑卒中后抑郁患者的生活质量较差，与应对方式、社会支持有关。

Relationship between Quality of Life, Coping Style and Social Support in Patients with Post-stroke Depression

Objective] To explore the relationship between quality of life, coping style and social support in patients with post-stroke depression. Methods]50 Patients with post-stroke depression （study group） and 50 Healthy volunteers （Control group） were tested with the Generic Quality of Life Inventory （GQOL）, Medical Coping Questionnaire （MCMQ） and Social Support Assessment Scale （SSAS）. Results] The total score of GQOLI and physical function, mental function and social function factor scores in the observed group were significantly lower than those in the control group. In MCMQ assessment, the score of face in the observed group was significantly lower than that in the control group ; while the score of submissiveness in the observed group was significantly higher than that in the control group. Total score of SSAS, objective support, Subjective support and utilization degree of social support scores in the observed group were significantly lower than that in the control group. The total score of GQOLI and physical function, mental function and social function factor scores were significantly positively correlated with the score of face to face of MCMQ and the total score of SSAS, objective support, Subjective support and utilization degree of social support scores, but they were significantly negatively correlated with the score of submissiveness of MCMQ. Conclusion] The quality of life of the patients with post-stroke depression is poor, and it is significantly correlated with coping style and social support.