| Abstract |
[Abstract] Objective Explore the influencing factors of affective disorder after stroke, and provide reference for the prevention and treatment of affective disorder after stroke. Methods A total of 100 stroke patients from September 2018 to September 2020 were selected as the study subjects. The self-rating anxiety scale（SAS) and self-rating depression scale（SDS) were used to screen for affective disorders, and were set as the affective disorder group and the control group. The general information of the two groups of patients were investigated. The activities of daily living (ADL), pittsburgh sleep index (PSQI), social support rating scale (SSRS), neurological impairment scale (NIHSS) were evaluated. The medical records such as gender, age, marriage were recorded. Single-factor and multi-factor Logistic regression analysis were carried out to investigate the influencing factors of affective disorder after stroke. Results Thirty-four out of 100 stroke patients complicated with affective disorder. The affective disorder group and the control group had statistically significant differences in life activity ability, sleep disorder, social support, neurological deficit, age, frontal or temporal lobe involvement of the lesion, and educational background (P<0.05). There was no significant difference in gender, marital status, and type of stroke between the two groups (P>0.05). Multivariate analysis showed that poor life activity, sleep disturbance, low social support, severe neurological deficits, and lesions involving the frontal or temporal lobes are the influencing factors for affective disorders after stroke. Conclusion The rate of complicated affective disorder after stroke is high, which is affected by factors such as life activity ability, sleep disorder, social support, degree of neurological deficit, and location of the lesion.
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