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.
引文
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