脑梗死患者合并焦虑抑郁的相关因素分析及干预措施

Analysis of Related Factors and Intervention Measures of Anxiety and Depression in Patients with Cerebral Infarction

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

河南省郑州市第七人民医院 ;

摘要
探讨分析脑梗死患者合并焦虑抑郁的相关因素及干预措施。方法 选取2016年2月~2019年2月我院420例脑梗死患者作为调查对象,收集患者人口学特征、学历水平、婚姻状况、家属关心程度等资料,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评分调查420例脑梗死患者,采用Logistic回归分析法统计分析调查结果。结果 420例脑梗死患者中,191例患者合并焦虑症,占45.48%,187例患者合并抑郁症,占44.52%,焦虑合并抑郁155例,占36.90%;合并焦虑抑郁总计223例,占53.10%;不同年龄、学历水平、婚姻状况、居住地、家属关心、失眠、活动障碍情况的脑梗死患者合并焦虑抑郁率对比,差异有统计学意义(P<0.05);经Logistic回归分析,<60岁、学历水平高、单身、家属不关心、失眠、活动障碍是脑梗死患者合并焦虑抑郁的独立危险因素(P<0.05);结论 脑梗死患者易患焦虑抑郁,<60岁、学历水平高、单身、家属不关心、失眠、活动障碍是脑梗死患者合并焦虑抑郁的独立危险因素,可根据脑梗死患者发生焦虑抑郁的独立危险因素实施针对性医护措施。
Abstract
Objective: To explore and analyze the related factors and intervention measures of anxiety and depression in patients with cerebral infarction. Methods: From February 2016 to February 2019, 420 patients with cerebral infarction in our hospital were selected as the subjects. The demographic characteristics, educational level, marital status and family care were collected. 420 patients with cerebral infarction were investigated by SAS and SDS. The results were analyzed by Logistic regression analysis. Results: Among 420 patients with cerebral infarction, 191 (45.48%) had anxiety disorder, 187 (44.52%) had depression, 155 (36.90%) had anxiety and depression; there are totally 223 cases (53.10%) with anxiety and depression; the incidence of anxiety and depression in cerebral infarction patients with different age, educational level, marital status, residence, family care, insomnia and dysactivity was compared. The difference was statistically significant (P < 0.05). Logistic regression analysis showed that patients who were less than 60 years old, with high educational level, single, unconcerned family members, insomnia and dysactivity were independent risk factors for anxiety and depression in patients with cerebral infarction (P < 0.05). Conclusion: Patients with cerebral infarction are prone to anxiety and depression. Patients who were less than 60 years old, with high educational level, single, unconcerned family members, insomnia and dysactivity are the Independent risk factors of anxiety and depression in patients with cerebral infarction. The targeted medical and nursing measures can be implemented according to these independent factors.
关键词
脑梗死;焦虑;抑郁;因素;干预
KeyWord
Cerebral Infarction; Anxiety; Depression; Factors; Intervention
基金项目
页码 361-363
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孙光明*. 脑梗死患者合并焦虑抑郁的相关因素分析及干预措施 [J]. 国际精神病学杂志. 2020; 47; (2). 361 - 363.

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