脑卒中患者个性特征生活方式和负性情绪与疾病的相关性对照研究

目的 探讨脑卒中患者的个性特征、生活方式和负性情绪状况,为临床综合治疗提供依据.方法 将116例脑卒中患者设为研究组,抽取同期正常体检者115名设为对照组.采用自拟一般资料调查表统计一般资料,艾森克个性问卷评定人格特征,自拟生活方式调查表测评生活方式,汉密顿焦虑量表及汉密顿抑郁量表评定焦虑、抑郁状况.结果 研究组艾森克个性问卷的精神质、内外倾、神经质维度分均显著高于对照组(P＜0.01),外向、内向性格和情绪不稳定者检出率均显著高于对照组(P＜0.05或0.01);饮食偏咸,不喝牛奶,喜高脂饮食,睡眠无规律或睡眠差,业余生活单调,很少或不锻炼,嗜酒、嗜烟等不良生活方式显著高于对照组(P＜0.01);汉密顿焦虑量表及汉密顿抑郁量表总分和各因子分均高于对照组(P＜0.01),不同程度的焦虑、抑郁情绪检出率均显著高于对照组(P＜0.01).结论 脑卒中患者存在明显的个性缺陷、不良生活方式和焦虑抑郁负性情绪,在综合防治时,除控制其生物病因外,还应改善不良生活方式,调整情绪,加强心理治疗,以利于患者的全面康复.

A Correlative control study of personality characteristic, life style and negative emotion in cerebral stroke patients

Objective To study etiological relations of personality characteristic, life Style and negative emotion in patients with cerebral stroke. Methods 116 cerebral stroke patients and 115 healthy persons were investigated with MMSE, EPQ, HAMD, HAMA, self-made life style quesionnaire and general schedule table. Results Compared with normal group, cerebral stroke patients got higher scores incerebral stroke group had higher scores in E and N score, more extraversion behavior and emotionally unstable personality （P〈0. 01） ;had clearly higher scores in harmful dietetically habits, monotonous amateur life, lacking physical exercises, having a liking for cigarette and drinking and somnus unregulation of life style （P〈0. 01）,stroke group had clearly higher scores in somatization disorder of anxiety and depression,cognitive disorder, retardation, desperation, sleeping disorder, sum scores of anxiety and depression （P〈0. 01）. Conclusion Unhealthy personality characteristics, rish factors of cerebral stroke and make patients condition harmful life style and negative emotion may be worsening.