不同临床类型脑卒中后抑郁患者健康相关生存质量及其影响因素.docVIP

不同临床类型脑卒中后抑郁患者健康相关生存质量及其影响因素 郝贵峰 朱崇田 李修奎 张继香 【摘要】 目的 探讨不同临床类型脑卒中后抑郁(post-stroke depression，PSD)患者健康相关生存质量(health-related quality of life, HRQOL)及其影响因素。方法 筛选在临沂市人民医院康复科住院的的康复期（卒中后1-3月）首发缺血性脑卒中患者203名进行问卷测试。结果 1. PSD发生率：PSD总体发生率为48.28%，男女性患者PSD发生率差异无显著性(50.55% vs.46.43%, χ2=0.341，P=0.559)；TACI组、PACI组、POCI组和LACI组PSD发生率分别为56.45%(n=35)、53.45%(n=31)、47.27%(n=26)和21.43%(n=6)，组间差异具有显著性()；2. PSD患者和单纯脑卒中患者除上肢功能和视力无显著性差异外，HRQOL其它各项因子及整体差异具有显著性()，且除个性因子外，其它具有显著差异的因子，PSD患者均明显较单纯脑卒中患者差；3. 四种不同临床类型PSD患者的HRQOL，除上肢功能和视力外，其它各项因子及总得分差异均有显著性()；4. 在PSD患者中，女性较男性、未婚或丧偶较爱人建在的患者、高中以上文化程度较高中以下文化程度的患者、农村较城镇患者、家庭月收入小于2000元较大于2000元的患者、神经功能缺损程度越高的患者、由护工照顾较由家人照顾的患者和抑郁程度越严重的患者HRQOL明显差()；而年龄大于60岁和年龄小于60岁的患者间HRQOL无明显差异。结论 1. PSD发生率较高，男女性患者PSD发生率无明显差异，但不同临床类型脑卒中患者PSD发生率显著不同；2. PSD患者较单纯脑卒中患者HRQOL明显差；3. 不同临床类型PSD患者HRQOL不同；4. 女性、未婚或丧偶、高中以上文化程度、来自农村、家庭月收入小于2000元、神经功能缺损程度越高、由护工照顾及抑郁程度越重等是PSD患者HRQOL的不利因素。 关键词：脑卒中后抑郁；健康相关生存质量；影响因素 Study on Health-related Quality of Life and Its Influence Factors in Different Clinical-Type Patients with Post-stroke Depression Hao Gui-feng, Zhu Chong-tian, Li Xiu-kui, Zhang Ji-xiang Department of Psychology, People’s Hospital of Linyi City, Linyi, 276003, China 【Abstract】 Objective This study aim to investigate the Health-related Quality of Life (HRQOL) and its influence factors in different clinical-type patients with post-stroke depression(PSD). Methods Total 203 patients with first-ever ischemic stroke from department rehabilitation of people’s hospital of linyi city were investigated by questionnaires. Results 1. The cases of PSD were 98 clients (48.28% of the total number of clients); The PSD rate of female patients was higher than that of male patients (χ2=0.341, P=0.559); The difference of PSD rate among different clinical-Type patients was significant(χ2=10.386, P=0.016); 2. Compared with simple stroke patients, the HRQOL of PSD patients had statistically significant differences in the total score and ten latitudes except upper extremity function and vision (P0.05