多因素对急性脑梗死患者发生抑郁障碍的影响

目的 探究多因素对急性脑梗死患者发生抑郁障碍的影响。 方法 选择2014年1月—2015年1月衢州市第三医院的急性脑梗死患者352例,按照性别分为对照组和实验组。对照组为男性患者,实验组为女性患者。2组患者得知病情后(1、3个月)的焦虑和抑郁情绪程度心理状态用抑郁自评量表(SDS)进行评估,并对部分影响患者发生抑郁障碍的因素进行单因素和多因素分析;性别对急性脑梗死患者发生抑郁障碍的影响参考对患者的单因素和多因素的分析结果。 结果 在患者得知病情1个月后和3个月后,实验组患者的SDS评分明显高于对照组:实验组患者SDS评分为(81.86±4.45)分;对照组SDS评分为(58.48±4.38)分,数据显示女性患者的焦虑抑郁情况较男性更重,2组患者统计数据比较差异有统计学意义(P<0.05);对脑梗死患者抑郁发病状况调查发现,患者年龄对比差异无统计学意义(P>0.05)。文化程度、婚姻状况等数据比较差异均有统计学意义(P<0.05)。除年龄外,经济来源、文化程度等因素均有可能导致急性脑梗死患者发生抑郁障碍。对脑梗死患者抑郁发病状况调查数据进行回归分析,文化程度、婚姻状况、业余爱好、睡眠质量、体育锻炼、社会支持为患者发生抑郁障碍的主要因素(P<0.05)。 结论 急性脑梗死女性患者发生抑郁的几率比男性大,且文化程度、婚姻状况、业余爱好、睡眠质量、体育锻炼、社会支持为患者发生抑郁障碍的主要因素。 

The effect of multiple factors on depression in patients with acute cerebral infarction

Objective To explore the effects of multiple factors on depression in patients with acute cerebral infarction. Methods A total of 352 cases of acute cerebral infarction in our hospital from January, 2014 to January, 2015 were selected and divided by gender into control and experimental group. Male patients are in the control group, and the experimental group consists of female patients. The degree of anxiety and depression mental status after the two groups of patients learned their disease (one/three month later) was evaluated by self-rating depression scale (SDS); some factors leading to depression was analyzed with single factor analysis and multivariate analysis the effect of gender on depression in patients with acute cerebral infarction was analyzed with reference to the results of single factor and multiple factors analyses. Results In one month and three months after the patients learned their disease, the SDS score of the experimental group was significantly higher than that of the control group:SDS scores of patients in the experimental group was (81. 86 ±4. 45); SDS score was (58. 48 ±4. 38). Data show that women with anxiety and depression situation is more severe than men and the two groups had statistical significance (P < 0. 05); the survey found that for the incidence of depression in patients with cerebral infarction, there is no difference in the age of the patients (P > 0. 05). Degree of education, marital status and other data have statistical significance (P < 0. 05). That except for age, economic sources, degree of culture factors may lead to the occurrence of depressive disorder in patients with acute cerebral infarction; regression analysis of depression in patients with cerebral infarction incidence found that educational level, marital status, sleep quality, physical exercise and social support are main factors for patients with depressive disorder (P < 0. 05). Conclusion The incidence of depression in women with acute cerebral infarction was greater than that of men, and the main factors were educational level, marital status, hobbies, sleep quality, physical exercise and social support for patients with depression.