初发脑卒中后患者抑郁的相关因素分析

目的初步分析影响脑卒中患者发病后抑郁发生的相关因素,预测减少脑卒中患者发生抑郁的主要干预方式,以指导脑卒中患者采取正确治疗措施及良好的生活方式。方法选择初次脑卒中发病后3个月的住院患者180例,记录患者的一般情况如性别、年龄、职业以及疾病特征等。采用逐步多元回归分析法进行分析,筛选有意义的相关因素。结果有否进行康复治疗、卒中前性格、家庭关系、年龄、有无合并症、经济状况等因素可进入回归方程。结论有否进行康复治疗、卒中前性格、家庭关系、年龄、有无合并症、经济状况等因素可较好地预测脑卒中患者卒中后抑郁量表得分,对卒中后抑郁的发生影响较大。

Analysis of influence factors of post-stroke depression

OBJECTIVE: To explore the influence factors of post-stroke depression by using Hamilton's depression scale (HAMD). METHODS: One hundred and eighty stroke survivors were involved in this study. Data were collected on age, sex, education, location of brain lesion, diagnostic stroke subtype and so on. We used multiple regressions analyzing to determine those factors that could predict Hamilton's depression scale (HAMD) scores of stroke patients. RESULTS: The multiple regression analysis of mean scores revealed that whether receiving rehabilitation therapy or not, personality, supports of family, age, complications and economical status were predictors of the result of the patient's global post-stroke depression assessment. CONCLUSION: The results of the present study call for more individually tailored. The prevalence of post-stroke depression can be influenced by multifaceted rehabilitative approaches including rehabilitation therapy, personality, supports of family, age, controlling complications and economical status.