本文選題：卒中后抑郁 + 情緒調(diào)節(jié)　； 參考：《中國康復(fù)醫(yī)學(xué)雜志》2017年08期

【摘要】：目的:研究腦卒中患者的情緒調(diào)節(jié)方式及腦卒中后抑郁癥狀的主要相關(guān)因素。方法:選取住院腦卒中恢復(fù)期患者155例,采取集體實(shí)施問卷調(diào)查的方式,獲取有效問卷124例。用抑郁自評(píng)量表來評(píng)估卒中后抑郁癥狀,用Gross情緒調(diào)節(jié)問卷(ERQ,包括認(rèn)知重評(píng)和表達(dá)抑制兩個(gè)分量表)來評(píng)估卒中患者認(rèn)知重評(píng)和表達(dá)抑制的使用情況;用沉思量表(RRS)來測量卒中患者沉思策略的使用情況;采用Pearson相關(guān)分析計(jì)算抑郁量表分和不同情緒調(diào)節(jié)策略得分之間的相關(guān)系數(shù);并用logistic回歸分析對(duì)卒中患者抑郁癥狀的主要相關(guān)因素進(jìn)行分析。結(jié)果:41例腦卒中患者有抑郁癥狀。抑郁量表總分與ERQ的認(rèn)知重評(píng)得分呈負(fù)相關(guān)(r=-0.23,P=0.01),與ERQ的表達(dá)抑制得分無相關(guān)(r=0.02,P=0.05),與RRS總分呈正相關(guān)(r=0.60,P=0.00)。回歸分析表明,照料者為家屬(OR=0.54,P=0.034)、認(rèn)知重評(píng)分量表得分高(OR=0.36,P=0.005)和NIHSS得分低(OR=1.21,P=0.002)的已婚腦卒中患者SDS總分較低,而年齡較大(OR=1.04,P=0.019)、照料者為護(hù)工(OR=1.18,P=0.042)、離異/喪偶(OR=1.22,P=0.034)和RRS總分較高(OR=1.53,P=0.001)的腦卒中患者SDS總分較高。結(jié)論:年齡較大、照料者為護(hù)工、離異/喪偶、越多使用沉思策略和越少使用認(rèn)知重評(píng)策略的腦卒中患者,發(fā)生抑郁的風(fēng)險(xiǎn)越大。
[Abstract]:Objective: to study the mood regulation and the main related factors of depression after stroke in patients with cerebral apoplexy. Methods: 155 inpatients with stroke in convalescent stage were selected and 124 effective questionnaires were obtained by means of collective questionnaire. Depression self-rating scale was used to evaluate post-stroke depression symptoms, and Gross emotion regulation questionnaire (Gross) was used to evaluate the use of cognitive reassessment and expression inhibition in stroke patients. Pearson correlation analysis was used to calculate the correlation coefficient between depression scale and different emotion regulation strategies. The main related factors of depression in stroke patients were analyzed by logistic regression analysis. Results 41 stroke patients had depressive symptoms. There was a negative correlation between the total score of depression scale and the score of cognitive reassessment of ERQ. There was no correlation between the total score of depression scale and the score of ERQ expression inhibition. There was a positive correlation between the total score of depression scale and the total score of RRS. The regression analysis showed that the total SDS score of married stroke patients with lower NIHSS score was lower than that of married stroke patients with lower NIHSS score (0.36) and 0.36% (P < 0.005) and 0.54% (P < 0.034) and 0.36% (P < 0.005) respectively, and the total SDS score of married stroke patients was lower than that of married stroke patients (P < 0.05). The total SDS score of stroke patients with higher RRS score was higher than that of the older ones (OR1. 04 P 0. 019, care worker 1. 18 / P 0. 042, divorced / widowed OR1. 22 P0. 034) and RRS with a higher total score of 1. 53% P0. 001 (P < 0. 001). Conclusion: the older the carer is, the higher the risk of depression is in the stroke patients who use more meditation strategies and less cognitive reappraisal strategies.
【作者單位】： 浙江省人民醫(yī)院(杭州醫(yī)學(xué)院附屬人民醫(yī)院)康復(fù)科;
【基金】：浙江省醫(yī)藥衛(wèi)生計(jì)劃一般項(xiàng)目(2015126322) 浙江省醫(yī)學(xué)重點(diǎn)(創(chuàng)新)學(xué)科資助項(xiàng)目
【分類號(hào)】：R743.3
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本文編號(hào)：1926288