四川达州200例老年脑卒中住院患者焦虑抑郁状况发生情况的调查及影响因素
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摘要
目的调查老年脑卒中住院患者焦虑抑郁状况的发生情况并分析其影响因素。方法采用HAMA与HAMD调查达州市中心医院神经内科收治的200例老年脑卒中住院患者焦虑及抑郁状况的发生率,并分析焦虑抑郁状况的影响因素。结果 200例老年脑卒中住院患者抑郁发病率为40.50%,焦虑发病率为31.00%,其中46例同时合并焦虑及抑郁状况; Logistic回归分析结果显示,女性、低学历(中学及以下)、1年医疗开销≥10 000元、独居、住院时间≥2周、住院频率≥3次/年以及瘫痪患者均是导致老年脑卒中住院患者焦虑抑郁状况的独立危险因素。结论老年脑卒中住院患者焦虑抑郁发生率高,多数患者同时合并两种症状,老年脑卒中住院患者性别、学历、治疗开销、独居、住院时间频率以及瘫痪均将增加其焦虑抑郁的发生率。
Objective To investigate the occurrence of anxiety and depression in 200 elderly inpatients with stroke and analyze the influencing factors. Methods HAMA and HAMD were used to investigate the incidence of anxiety and depression in 200 elderly inpatients with stroke in the Department of Neurology of Dazhou Central Hospital. The influencing factors for anxiety and depression were analyzed. Results The incidence of depression was 40.50% and that of anxiety was 31.00%. There were 46 patients who were afflicted with anxiety and depression at the same time. Logistic regression analysis indicated that femininity,a poor education,medical expenditure above 10000 yuan a year,living alone,hospital stay longer than 2 wk,annual hospital stay three times or more and paralysis were independent risk factors for anxiety and depression in elderly inpatients with stroke.Conclusion The incidence of anxiety and depression is high in elderly inpatients with stroke. Most patients have two symptoms at the same time. Gender,education levels,medical expenses,living alone,hospital stay,hospitalization frequency and paralysis in elderly inpatients with stroke will increase the incidence of anxiety and depression.
Objective To investigate the occurrence of anxiety and depression in 200 elderly inpatients with stroke and analyze the influencing factors. Methods HAMA and HAMD were used to investigate the incidence of anxiety and depression in 200 elderly inpatients with stroke in the Department of Neurology of Dazhou Central Hospital. The influencing factors for anxiety and depression were analyzed. Results The incidence of depression was 40.50% and that of anxiety was 31.00%. There were 46 patients who were afflicted with anxiety and depression at the same time. Logistic regression analysis indicated that femininity,a poor education,medical expenditure above 10000 yuan a year,living alone,hospital stay longer than 2 wk,annual hospital stay three times or more and paralysis were independent risk factors for anxiety and depression in elderly inpatients with stroke.Conclusion The incidence of anxiety and depression is high in elderly inpatients with stroke. Most patients have two symptoms at the same time. Gender,education levels,medical expenses,living alone,hospital stay,hospitalization frequency and paralysis in elderly inpatients with stroke will increase the incidence of anxiety and depression.
引文
[1]唐运兰,陈明翠,刘家骥,等.病情和家庭情况对脑卒中患者心理状态的影响及对症心理护理干预研究[J].国际精神病学杂志,2017,44(2):315.
[2]SCHOTTKE H,GIABBICONI C M.Post-stroke depression and post-stroke anxiety:prevalence and predictors[J].Int Psychogeriatr,2015,27(11):1805.
[3]肖丹丹,陈秀红,黄志萍,等.海南省丧偶住院老年患者抑郁状况及护理干预[J].中国老年学杂志,2017,37(24):6206.
[4]陈秀贞,黄玉莲,潘燕,等.心理干预对老年结直肠癌患者术后心理状况及生存质量的影响[J].中国老年学杂志,2016,36(11):2721.
[5]MITCHELL A J,SHETH B,GILL J,et al.Prevalence and predictors of post-stroke mood disorders:A meta-analysis and meta-regression of depression,anxiety and adjustment disorder[J].Gen Hosp Psychiatry,2017,47:48.
[6]蒲城城,孙新宇,张婷婷,等.老年抑郁障碍患者抑郁主观体验与医师临床评估一致性的1年随访研究[J].中国心理卫生杂志,2017,31(2):97.
[7]ARBA F,ALI M,QUINN T J,et al.Lacunar infarcts,depression,and anxiety symptoms one year after stroke[J].J Stroke Cerebrovasc Dis,2016,25(4):831.
[8]左玉姣,刘厂辉,王春兰,等.针对性心理干预对行运动康复治疗的老年冠心病心衰患者负性情绪及心功能的影响[J].中国老年学杂志,2016,36(15):3684.
[9]赵淑琴.早期保健措施对心血管疾病患者焦虑、抑郁状态及预后的影响[J].山东医药,2016,56(14):87.
[10]王晓燕,戚燕.江西省吉安市社区老年居民焦虑抑郁现状及影响因素[J].中国老年学杂志,2016,36(6):1463.
[11]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488.
[12]陈汉水,童绥君,马祺琳.药物联合心理治疗老年脑卒中后睡眠障碍的疗效[J].中国老年学杂志,2016,36(23):5856.
[13]余爵波,程泽星,郑海洲,等.老年变应性鼻炎患者生活质量和焦虑抑郁情绪症状分析[J].中华老年医学杂志,2017,36(8):895.
[14]李丛梅,董丽华,王桂红.阿立哌唑口崩片联合度洛西汀治疗老年女性抑郁症伴焦虑患者的疗效及安全性评价[J].中国地方病防治杂志,2017,32(1):82.
[15]程远玲,赵艺寻,隋晶晶,等.抑郁、焦虑在老年科冠心病心衰患者中发生率及其影响因素[J].国际精神病学杂志,2016,43(5):857.
[16]STEIN L A,GOLDMANN E,ZAMZAM A,et al.Association between anxiety,depression,and post-traumatic stress disorder and outcomes after ischemic stroke[J].Front Neurol,2018,9:890.
[17]韩学青,张淑芳,张燕波,等.居家老年人的抑郁焦虑状况及影响因素分析[J].中华老年医学杂志,2017,36(10):1120.
[18]LIANG X,LIU Y,JIA S,et al.SIRT1:The value of functional outcome,stroke-related dementia,anxiety,and depression in patients with acute ischemic stroke[J].J Stroke Cerebrovasc Dis,2018,pii:S1052-3057(18)30559-7.
[2]SCHOTTKE H,GIABBICONI C M.Post-stroke depression and post-stroke anxiety:prevalence and predictors[J].Int Psychogeriatr,2015,27(11):1805.
[3]肖丹丹,陈秀红,黄志萍,等.海南省丧偶住院老年患者抑郁状况及护理干预[J].中国老年学杂志,2017,37(24):6206.
[4]陈秀贞,黄玉莲,潘燕,等.心理干预对老年结直肠癌患者术后心理状况及生存质量的影响[J].中国老年学杂志,2016,36(11):2721.
[5]MITCHELL A J,SHETH B,GILL J,et al.Prevalence and predictors of post-stroke mood disorders:A meta-analysis and meta-regression of depression,anxiety and adjustment disorder[J].Gen Hosp Psychiatry,2017,47:48.
[6]蒲城城,孙新宇,张婷婷,等.老年抑郁障碍患者抑郁主观体验与医师临床评估一致性的1年随访研究[J].中国心理卫生杂志,2017,31(2):97.
[7]ARBA F,ALI M,QUINN T J,et al.Lacunar infarcts,depression,and anxiety symptoms one year after stroke[J].J Stroke Cerebrovasc Dis,2016,25(4):831.
[8]左玉姣,刘厂辉,王春兰,等.针对性心理干预对行运动康复治疗的老年冠心病心衰患者负性情绪及心功能的影响[J].中国老年学杂志,2016,36(15):3684.
[9]赵淑琴.早期保健措施对心血管疾病患者焦虑、抑郁状态及预后的影响[J].山东医药,2016,56(14):87.
[10]王晓燕,戚燕.江西省吉安市社区老年居民焦虑抑郁现状及影响因素[J].中国老年学杂志,2016,36(6):1463.
[11]戴悦,张宝泉,李映兰,等.中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J].中华护理杂志,2016,51(4):488.
[12]陈汉水,童绥君,马祺琳.药物联合心理治疗老年脑卒中后睡眠障碍的疗效[J].中国老年学杂志,2016,36(23):5856.
[13]余爵波,程泽星,郑海洲,等.老年变应性鼻炎患者生活质量和焦虑抑郁情绪症状分析[J].中华老年医学杂志,2017,36(8):895.
[14]李丛梅,董丽华,王桂红.阿立哌唑口崩片联合度洛西汀治疗老年女性抑郁症伴焦虑患者的疗效及安全性评价[J].中国地方病防治杂志,2017,32(1):82.
[15]程远玲,赵艺寻,隋晶晶,等.抑郁、焦虑在老年科冠心病心衰患者中发生率及其影响因素[J].国际精神病学杂志,2016,43(5):857.
[16]STEIN L A,GOLDMANN E,ZAMZAM A,et al.Association between anxiety,depression,and post-traumatic stress disorder and outcomes after ischemic stroke[J].Front Neurol,2018,9:890.
[17]韩学青,张淑芳,张燕波,等.居家老年人的抑郁焦虑状况及影响因素分析[J].中华老年医学杂志,2017,36(10):1120.
[18]LIANG X,LIU Y,JIA S,et al.SIRT1:The value of functional outcome,stroke-related dementia,anxiety,and depression in patients with acute ischemic stroke[J].J Stroke Cerebrovasc Dis,2018,pii:S1052-3057(18)30559-7.