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目的了解脑中风合并偏瘫患者社会关系质量和情绪障碍的现状,并分析两者之间的相关性,为改善脑中风合并偏瘫患者的情绪障碍症状提供参考。方法选取本院2016年1月~2016年12月神经内科收治脑中风继发偏瘫患者72例作为观察对象。采用社会关系质量量表(PSRQ)评估患者社会关系质量,采用17项汉密顿抑郁量表(HAMD-17)、14项汉密尔顿焦虑量表(HAMA)和贝克-拉范森躁狂量表(BRMS)评估患者心理情感障碍。采用Pearson相关性分析探索患者社会关系质量与心理情感障碍症状的相关性。结果调查结果显示,患者社会关系质量总分为(32.8±7.4)分;其中家庭亲密度(13.8±4.9)分、家庭承担得分(10.2±3.8)分、朋友关系(9.7±2.9)分;17项汉密顿抑郁量表评分(54.8±6.6)分、密尔顿焦虑量表评分(48.1±5.2)分和贝克-拉范森躁狂量表评分(38.4±4.5)分。Pearson相关性分析显示,社会关系质量总分与抑郁、焦虑、躁狂均呈现负相关性(P<0.01)。在分量表分析中,患者家庭亲密度、家庭承担和朋友关系等3个分量表评分也均与抑郁、焦虑、躁狂呈现负相关性(P<0.01)。结论脑中风合并偏瘫患者社会关系质量与心理情感障碍症状呈现负相关,改善其社会关系质量有可能减轻情感障碍症状。
Objective To understand the status of social relationship and mood disorders in patients with cerebral apoplexy and hemiplegia and to analyze the correlation between them and to provide references for improving the symptoms of mood disorders in patients with stroke and hemiplegia. Methods From January 2016 to December 2016, 72 patients with hemiplegia secondary to stroke were admitted to Department of Neurology. The social quality of the patients was assessed using the Social-Relationships Quality Scale (PSRQ). 17 HAMD-17, 14 HAMA and Baker-Lavanman mania scales (HAMD-17) BRMS) to assess the patient’s psychosomatic disorders. Pearson correlation analysis was used to explore the correlation between the quality of patients’ social relations and the symptoms of psychological affective disorder. Results The survey showed that the total score of social relations was (32.8 ± 7.4) points, of which, family intimacy (13.8 ± 4.9), family commitment score (10.2 ± 3.8), friends relationship (9.7 ± 2.9) The Hamilton Depression Rating Scale (54.8 ± 6.6), the Milton’s Anxiety Scale score (48.1 ± 5.2), and the Baker-Lavansen Mania Scale score (38.4 ± 4.5). Pearson correlation analysis showed that the total score of social relationship was negatively correlated with depression, anxiety and mania (P <0.01). In the subscale analysis, the three subscale scores of family cohesion, family commitment and friendships were also negatively correlated with depression, anxiety and mania (P <0.01). Conclusion The quality of social relationship and the symptoms of mental disorders are negatively correlated with patients with stroke and hemiplegia. Improving the quality of social relations may reduce the symptoms of affective disorder.