摘要
目的 :探讨脑卒中急性期焦虑症状及其相关因素。方法 :对符合脑卒中诊断标准的 2 0 6例病人 ,应用焦虑自评量表 (SAS) ,症状自评量表 (SCL -90 ) ,神经功能缺损程度量表 (NDF)及一般情况调查表等进行现场测试和调查 ,并对各指标进行统计学分析处理。结果 :2 0 6例病人中急性期出现焦虑者 (SAS≥ 5 0分 ) 3 8例 ,发生率为 18 4% ,其中女性患者发生率高 ,并与家庭关系、病人依从性、神经功能缺损程度等因素呈正相关 ,与病前是否吸烟、社会支持程度、生活能力受损程度呈负相关 ,而与病前职业、躯体健康状况以及病变的性质、部位等无明显相关性。结论 :焦虑为脑卒中患者急性期的常见症状。其产生机制一方面是由于病变本身对脑组织的损害 ,但更主要的则是心理应激反应。
Objective:To do factor analysis related to post-stro ke anxiety.Method:206 inpatients(male 126,female 80,mean age 63±16 )with stroke were tested with SAS,DNF,MMSE,LES and ADL.Results:T h e rate of anxiety after 1 month of stroke in our sample was 18.4%(38 cases).Mu lt i-factorial analysis showed,many factors including female,younger at onset,sever ity of stroke,poor general physical condition,less compliance with treatment,and other psycho-social factors(heavier family burden,less income,more life events, less social support)were all associated with anxiety after stroke.Conchus ion:Anxiety is a common complication after stroke,its occurrence were asso ciated with a variety of factors including severity of illness and psychosocial factors.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2001年第6期419-420,共2页
Chinese Mental Health Journal
基金
山东省卫生厅科研基金资助项目(1 997CAIDFA3)
