脑卒中患者并发抑郁相关因素的logistic回归分析及其护理对策

factors logistic regression analysis and nursing strategy of cerebral apoplexy patients complicated with depression related

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

淮安市淮安医院神经内科 ;
东南大学附属中大医院神经内科 ;

摘要
【摘要】目的:探讨脑卒中患者并发抑郁相关因素的logistic回归分析及其护理对策。方法:回顾性分析2011年6月至2016年6月期间我院确诊治疗的脑卒中患者300例的临床资料,所有患者采用汉密尔顿抑郁量表(HAMD)评估抑郁状态,依据是否并发抑郁分为并发组(125例)和对照组(175例),采用美国国立卫生研究院卒中量表(NIHSS)评估神经功能,采用Barthel指数(BI)评估生活能力,采用单因素分析法分析脑卒中患者并发抑郁的相关因素,采用logistic回归分析法筛选其中的危险因素,统计分析所有患者的一般资料、抑郁、神经功能、生活能力等情况。结果:单因素分析结果显示,并发组和对照组患者在性别、年龄、脑卒中性质方面基本相同,无显著性差异(P>0.05),并发组患者低文化程度、NIHSS得分、合并基础疾病率、病程、独居率明显高于对照组,前者BI得分明显低于后者,有显著性差异(P<0.05);logistic回归分析法结果显示,低文化程度、高神经功能缺损、合并基础疾病、长病程、独居是脑卒中患者并发抑郁的独立危险因素,高生活能力是其保护因素(P<0.05)。结论:低文化程度、高神经功能缺损、合并基础疾病、长病程、独居与脑卒中患者并发抑郁有关,前者是后者的独立危险因素,而高生活能力是后者的保护因素,提示护理人员应对上述危险因素人群加强干预治疗,同时提高患者生活能力,以防治抑郁症。
Abstract
【 Abstract】objective:To discuss the factors logistic regression analysis and nursing strategy of cerebral apoplexy patients complicated with depression related. Methods:300 patients with cerebral apoplexy were retrospectively analyzed from September 2011 to June 2015 in our Hospitals,the Hamilton depression scale (HAMD) was used to assess all patients depression, according to whether concurrent depression, all patients were divided into concurrent group (125 cases) and control group (175 cases),the national institutes of health stroke scale (NIHSS) scores was used to evaluate nerve function,the Barthel index (BI) was used to assess the life ability,the method of single factor was used to analyze the related factors of cerebral apoplexy patients complicated with depression,logistic regression analysis was used to screen the risk factors, analyzed all patients with general information, depression and nerve function, life ability, and so on and so forth.Results:According to the results of single factor analysis of concurrent group and the control group in terms of gender, age, nature of stroke were basically the same, there was no significant difference (P > 0.05), concurrent group of patients with lower cultural degree, NIHSS score, consolidated basis, course of disease rate, solitary rate were significantly higher than the control group, the former BI score was significantly lower than the latter, there were significant differences (P < 0.05); Logistic regression analysis results showed that, the low level of education, high neurologic deficits, merging, basic diseases, long duration and isolation were independent risk factors for cerebral apoplexy patients complicated with depression,the high ability of life was its protection factor (P < 0.05).Conclusions:Low cultural degree, high neurologic deficits, with basic diseases, long duration, living alone is associated with cerebral apoplexy patients complicated with depression, independent risk for the former is the latter, and protection of the high life ability is the latter, prompt physicians dealing with these risk factors groups to strengthen the intervention treatment, improve the patients life ability at the same time, to prevent depression.
关键词
【关键词】:脑卒中;抑郁;因素;危险
KeyWord
【Keywords】:cerebral apoplexy;depression;factors;risk
基金项目
页码 897-900
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徐晓艳*,于敢红,王涛,邵国娟. 脑卒中患者并发抑郁相关因素的logistic回归分析及其护理对策 [J]. 国际精神病学杂志. 2017; 44; (5). 897 - 900.

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