83例中风后抑郁患者原因研究及对策.docVIP

83例中风后抑郁患者原因研究及对策摘要：目的：了解影响中风后发生抑郁的因素，尽可能及早消除可干预因素。方法：评定中风后抑郁，并观察其发生与年龄、性别、病因、病情、病前性格、文化程度、心理社会因素的关系。结果：147例中风患者中83例有抑郁状态，发生率为56.4％,其发生与年龄、病程、病情、性格、文化程度、心理社会因素有关。结论：年龄大、病情重、病程长、性格内向、文化水平低、经济条件差、与家人不和的中风患者，抑郁发生率高。尽早有效治疗，减轻病情，动员社会及家人关心中风患者可减少抑郁的发生率。 关键词:中风 抑郁患者 原因分析及对策 After 83 example strokes the despondent patient?s reason analysis and the countermeasure Yuan Yonghui Kan Jirong Song Cuiping Abstract：Objective：After understood the influence stroke has the despondent factor,early eliminates as far as possible may intervene the factor. Methods：Evaluates the stroke despondent,and observes it to occur with in front of the age,the sex,the cause of disease,the condition,sickness the disposition,the years of schooling,the psychological society factor relations. Results：In 147 example stroke patient 83 examples have the despondent condition,the formation rate are 56.4%,it occurs related with the age,the course of an illness,the condition,the disposition,the years of schooling,the psychological society factor. Conclusion：the age big,the condition heavy,the course of an illness long,the disposition introversion,the cultural level low,the current economic condition difference,the stroke patient who disagrees with the family member,despondent formation rate high.Effectively treats as soon as possible,reduces the condition,the mobilization society and the family member cared about the stroke patient may reduce the despondent formation rate. Keywords:The stroke Despondent patient Reason analysis and the countermeasure 【中图分类号】R47 【文献标识码】B 【文章编号】1008-1879(2010)11-0052-01 1 资料与方法 1.1 一般资料。本组147例病人均为我院住院病人，均经头颅CT证实为脑梗塞，男91例，女56例。年龄42～88岁，其中65岁89例。病程为病后1周～7年，其中少于6个月的61例，6～12个月的53例，大于12个月的33例。病前患者性格外向62例，内向85例。病前文化程度：文盲22例，小学43例，初中33例，高中29例，大学以上20例。心理社会因素调查：患者经济条件：良好38例，中等76例，差33例；患者与社会、家人的关系：良好53例，中等59例，不和35例。全部病例病前无智力障碍及精神异常。 1.2 心理评测。按中风抑郁的MMADD（脑中风后抑郁的医学中心的多模式方法诊断）评定标准评测［1］。本组147例患者中有抑郁者83例，无抑郁者64例。 2 结果 中风后抑郁例数：男53/91(58.2％)，女34/56（60.7％）；65岁57/89（6