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目的探讨初发脑梗死患者早期社会支持与心理健康的相关性。方法对2013年4月~2014年3月入住安徽医科大学第一附属医院神经内科的80例初发脑梗死患者应用医院焦虑抑郁量表(HADS)、社会支持评定量表(SSRS)、美国国立卫生院神经功能缺损评分(NIHSS)、自编患者一般资料调查表进行评估,并分析其相关性。结果患者焦虑发生率为33.8%,抑郁发生率为31.3%。社会支持总分为(36.79±7.89)分,支持度一般。60岁及以上初发脑梗死患者社会支持各维度评分与社区慢性病老人比较,差异无统计学意义(P>0.05)。社会支持总分及各维度评分与焦虑(r=-0.114~-0.263,P<0.05)和抑郁均呈负相关(r=-0.201~-0.337,P<0.05)。结论约1/3的初发脑梗死患者存在焦虑抑郁情绪,医护人员若能尽早评估其社会支持情况并努力调动患者支持系统发挥积极作用,将有利于缓解患者的负性情绪。
Objective To explore the correlation between early social support and mental health in patients with primary cerebral infarction. Methods Eighty patients with newly diagnosed cerebral infarction admitted to the First Affiliated Hospital of Anhui Medical University from April 2013 to March 2014 were evaluated with HADS, SSRS, Hospital neurological deficit score (NIHSS), self-compiled general information questionnaire for evaluation and analysis of their relevance. Results The incidence of anxiety was 33.8% and the incidence of depression was 31.3%. The total social support score was (36.79 ± 7.89) points, with a general level of support. There was no significant difference in the scores of social support scores of 60-year-old and above patients with initial cerebral infarction compared with the elderly with chronic community disease in community (P> 0.05). Social support score and each dimension score were negatively correlated with anxiety (r = -0.114-0.263, P <0.05) and depression (r = -0.201 -0.337, P <0.05). Conclusions About one-third of patients with first-episode cerebral infarction have anxiety and depression. If the medical staff can evaluate their social support as soon as possible and try to mobilize the patient support system to play an active role, it will help to alleviate the negative emotions of the patients.