摘要
目的探讨急性缺血性脑卒中患者愤怒倾向的发生率和相关因素。方法以482例急性缺血性脑卒中患者为研究对象,于发病后5～10d应用特质愤怒量表(TAS)进行愤怒评估。记录患者的入院美国国立卫生研究院卒中量表(NIHSS)评分、社会人口学特点和临床特点;应用Logistic多元回归分析探讨卒中后愤怒倾向(PSAP)与其他变量之间的关系。结果 72例(14.9%)患者存在PSAP。PSAP组和非PSAP组的卒中前TAS评分差异无统计学意义,而卒中后评分存在显著差异。PSAP组和非PSAP组的糖尿病、运动障碍、感觉障碍、既往卒中、入院时NIHSS得分存在显著差异。Logistic多元回归分析显示,PSAP与既往卒中和NIHSS评分独立相关(均P<0.05)。结论 PSAP是卒中后一种较为常见的情绪改变,并且NIHSS评分和既往卒中与PSAP密切相关,护理诊断和护理计划的制定要考虑到这些因素。
Objective To investigate the frequency of, and the factors related to, post-stroke anger proneness （PSAP） in patients with acute ischemic stroke. Methods A total of 482 patients with acute ischemic stroke were included. Post-stroke anger was assessed with Trait Anger Scale （TAS） 5-10 days after the onset of stroke. NIHSS score at admission, socio-demographic charac- teristics and clinical features were recorded. Logistic regression analysis was used to investigate the relationships between PSAP and other variables. Resalts Seventy two patients （14.9 ~ ） presented with PSAP. gAS scores before stroke were similar between the PSAP group and the non-PSAP group, however, TAS scores after stroke were significantly different. The factors related to PSAP were diabetes mellitus, motor and sensory dysfunction, previous stroke and NIHSS score at admission. Logistic regression analysis showed that PSAP was independently associated with previous stroke and NIHSS score. Conelusion PSAP is a common mood change after stroke, and is closely related with NIHSS score and previous stroke. We should take these factors into account while making nursing diagnosis and care plans.
关键词
缺血性脑卒中
卒中后愤怒倾向
危险因素
acute ischemic stroke
post-stroke anger proneness
risk factors
