摘要
目的:探讨急性期脑梗死患者抑郁心理对其特异性生存质量的影响。方法:急性期脑梗死患者142例,经Zung抑郁自评量表(SDS)评分后分为无抑郁组50例,轻度抑郁组36例和中度抑郁组56例。运用脑卒中影响量表(SIS)评定3组患者的生存质量。结果:在SIS的8个维度中,轻度抑郁组在体力,记忆/思维,情绪,日常活动能力,社会参与等维度的评分低于无抑郁组(P<0.05)。中度抑郁组在体力,记忆/思维,日常活动能力,行动能力,社会参与等维度的评分低于轻度抑郁组(P<0.05或P<0.001)。中度抑郁组除手功能外的其他各维度评分明显低于无抑郁组(P<0.05或P<0.001)。结论:脑梗死患者抑郁程度与其生存质量密切相关,抑郁程度重者生存质量较差。
Objective： To investigate the effects of depression on the disease-specific quality of life of cerebral infarction patients in acute seizure phase. Method： 142 cerebral infarction patients targeted to the inclusion criteria were divided into non-depression group（ n = 50）, mild depression group （n = 36 ）, and moderate depression group （n = 56）according to their self-rating depression scale （SDS） scores. Stroke impact scale （SIS） was used to evaluate the quality of life of the patients in three groups. Results： In the 8 dimensions of SIS, the mild depression group showed lower score than the non-depression group in the body problem, memory/thinking, activities of daily living, mood and social activity dimensions （ P 〈 0. 05 ） , and the moderate depression group had lower score than the mild depression group in the body problem, memory/thinking, activities of daily living, mobile ability and social activity dimensions（ P 〈 O. 05 or P 〈 0. 001 ）. The moderate depression group had significantly lower score than the non depression group in the body problem, memory/thinking, mood, communication, activities of daily living, mobile ability and social activity dimensions（P 〈0.05 or P 〈0. 001 ）. Conclusion： Survival quality of cerebral infarction patients is closely related to their depression condition. Patients with worse depression have worse survival quality.
出处
《临床精神医学杂志》
2008年第6期399-400,共2页
Journal of Clinical Psychiatry
基金
北京市中医药科技项目(JJ-2007-034)
关键词
脑梗死
抑郁
生存质量
cerebral infarction
depression
survival quality
