脑梗死患者心理状态及其相关因素分析

目的研究脑梗死患者住院期间的心理状态及其相关因素,为脑梗死患者的心理治疗提供依据。方法采用医院焦虑及抑郁自评量表(包括焦虑自评量表和抑郁自评量表)对91例脑梗死患者进行独立问卷调查,对调查结果采用Logistic回归分析方法进行统计学分析。结果91例脑梗死患者中28例(30.8%)存在焦虑,38例(41.8%)有抑郁;焦虑及抑郁均与脑梗死患者的躯体因素及社会因素密切相关。头晕、头痛、有不良反应、肢体活动障碍、家人关心不够、住院时间延长的患者抑郁发生率高(P<0.05);有不良反应、肢体活动障碍、女性、家人关心不够、受教育程度高、经济状况差的患者焦虑发生率高(P<0.05)。抑郁发生情况与患者的年龄、性别、婚否、受教育程度、经济状况、失眠症状无关;焦虑发生情况与患者的年龄、婚否、住院时间、头晕、头痛、失眠症状无关。结论焦虑与抑郁是脑梗死患者住院期间最常见的心理障碍,并与躯体及社会因素有关,对脑梗死住院患者应加强其心理治疗及护理。

Analysis of the psychological mood and related factors in patients with cerebral infarction

Objective To study the psychological mood and related factors of the inpatients with cere-bral infarction for providing the basis of guiding psycho-therapy in patients with cerebral infarction.Methods Ninety-one patients with cerebral infarction were inquired questionarie individually with the hospital anxiety and depression(HAD)mood self-evaluation table(including anxiety and depression self-evaluation table)and the results were assessed by logistic multiple regressive analysis.Results Of the91patients,28cases(30.8%)showed anxiety,38cases(41.8%)felt depression.Anxiety and depression were highly correlated with physical and social factors.Dizziness,cephalalgia,discomfort,extremity dyskinesia,less concerning by rela-tives and long term hospitalization were significantly correlated with depression(P<0.05).Discomfort,ex-tremity dyskinesia,female,less concerning by relatives,high level education and poor economic status were correlated with anxiety(P<0.05).The development and extent of depression was not correlated with age,sex,marriage,education,economic and insomnia status.And the development and extent of anxiety was also not correlated with age,marital status,inhospital duration,dizziness,cephalalgia education level,economic and insomnia status.Conclusion Anxiety and depression are the most common psychological disturbances in pa-tients with cerebral infarction,which is correlated with multiple physical and social factors,thus psycho-thera-py and care should be performed in inpatients with cerebral infarction.