家庭支持对脑卒中患者抑郁情绪和生活质量的影响①.docVIP

中国康复理论与实践 2012 年 2 月第 18 卷第 2 期 Chin J Rehabil Theory Pract, Feb. 2012, Vol. 18, No.2 DOI: 10.3969/j.issn.1006-9771.2012.02.009 家庭支持对脑卒中患者抑郁情绪和生活质量的影响 周志英  [摘要]  目的  探讨家庭支持系统对脑卒中患者抑郁情绪和生活质量的影响。方法  将 64 例脑卒中患者分为观察组(n=32)和对 照组(n=32)，均接受神经内科药物治疗和常规康复治疗，观察组在此基础上加强家庭支持，两组分别在初次就诊及治疗 2、4、8 周 后，采用汉密尔顿抑郁量表(HAMD)、世界卫生组织生存质量测评量表(WHOQOL-100)评定患者抑郁状况及生活质量。结果 治疗 后 观 察 组 HAMD 评 分 明 显 低 于 对 照 组 (P0.01)， WHOQOL-100 评 分 明 显 高 于 对 照 组 (P0.01)。 结 论 患者抑郁状况改善，提高生活质量。 家庭支持系统能促进脑卒中 [关键词] 脑卒中；家庭支持；生活质量；汉密尔顿抑郁量表；世界卫生组织生活质量测评量表  Influence of Family Support on Depression and Quality of Life for Stroke Patients  ZHOU Zhi-ying. Shangqiu Second Peoples Hospi- tal, Shangqiu 476000, Henan, China Abstract: Objective To explore the effect of family support system on depression and the quality of life of stroke patients. Methods 64 stroke patients were divided into observation group (n=32) and control group (n=32). Both groups accepted neurological medicine and con- ventional rehabilitation, and the observation group received family support additionally. The depression condition and the quality of life were accessed with Hamilton Depression Rating Scale (HAMD) and The World Health Organization Quality of Life (WHOQOL)-100 re- spectively before and 2 weeks, 4 weeks and 8 weeks after treatment. Results The scores of HAMD were significantly lower in the observa- tion group than in the control group (P0.01), the scores of WHOQOL-100 were significantly higher in the observation group than in the control group after treatment (P0.01). Conclusion The family support system can alleviate the depression and improve the quality of life of stroke patients. Key words: stroke; family support; quality of life; Hamilton Depression Rating Scale; The World Health Organization Quality of Life [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2012)02-0126-02 [本文著录格式] 周志英. 家庭支持对脑卒中患者抑郁情绪和生活质量的影响[J]. 中国康复理论与实践, 2012, 18(2): 126-127.  脑卒中导致患者的精神卫生问题相当突出，脑卒 中后抑郁就是最常见的并发症之一，其发生率为 25% ~60% [1]，不仅严重影响脑卒中患者的生活质量