CAJ | 학술논문

目的：探讨安徽省六安市人民医院神经内科脑血管疾病住院患者的心理健康状况，对情绪障碍发生的相关因素进行调查分析。方法选择该院神经内科近2年共300例住院的脑血管疾病患者为研究组，男127例，女173例，年龄22～81岁；同期选择该院门诊体检健康人300例为对照组，男142例，女158例，年龄21～77岁。采用汉密尔顿焦虑、抑郁自评量表、社会支持量表等进行评分记录与统计，分析情绪障碍发生的影响因素。结果 HAMD、HAMA量表评分结果显示，研究组中情绪障碍共发生168例（56．00％）其中抑郁的发生率为76．76％，焦虑发生率为62．52％，均高于对照组，差异有统计学意义（P＜0．001）。结合MESS评定结果显示，重型神经功能缺损患者的情感障碍发生率为87．34％，中型神经功能缺损患者的情感障碍发生率为55．24％，明显高于轻型神经功能缺损患者（35．34％），差异有统计学意义（P＜0．05）。PSSS评定结果显示，研究组的社会支持总分为（68．02±9．34）分低于对照组的（88．36±7．54）分，差异有显著统计学意义（t＝-29．35，P＜0．001）。对神经功能缺损程度的三个维度评分与HAMD、HAMA标准分进行线性相关分析发现它们之间存在正相关关系，差别具有统计学意义（P＜0．05）。结论神经内科脑血管疾病患者住院期间的心理问题主要为抑郁、焦虑，远高于普通人群；抑郁、焦虑的发生与神经功能缺损程度重、社会支持少等密切相关。
목적：탐토안휘성륙안시인민의원신경내과뇌혈관질병주원환자적심리건강상황，대정서장애발생적상관인소진행조사분석。방법선택해원신경내과근2년공300례주원적뇌혈관질병환자위연구조，남127례，녀173례，년령22～81세；동기선택해원문진체검건강인300례위대조조，남142례，녀158례，년령21～77세。채용한밀이돈초필、억욱자평량표、사회지지량표등진행평분기록여통계，분석정서장애발생적영향인소。결과 HAMD、HAMA량표평분결과현시，연구조중정서장애공발생168례（56．00％）기중억욱적발생솔위76．76％，초필발생솔위62．52％，균고우대조조，차이유통계학의의（P＜0．001）。결합MESS평정결과현시，중형신경공능결손환자적정감장애발생솔위87．34％，중형신경공능결손환자적정감장애발생솔위55．24％，명현고우경형신경공능결손환자（35．34％），차이유통계학의의（P＜0．05）。PSSS평정결과현시，연구조적사회지지총분위（68．02±9．34）분저우대조조적（88．36±7．54）분，차이유현저통계학의의（t＝-29．35，P＜0．001）。대신경공능결손정도적삼개유도평분여HAMD、HAMA표준분진행선성상관분석발현타문지간존재정상관관계，차별구유통계학의의（P＜0．05）。결론신경내과뇌혈관질병환자주원기간적심리문제주요위억욱、초필，원고우보통인군；억욱、초필적발생여신경공능결손정도중、사회지지소등밀절상관。
Objective To explore the mental health status of patients with cerebral vascular disease in neurology department of the Peo-ple’s hospital of Lu’an City in Anhui,and to investigate the related factors of emotional disorders.Methods Nearly 300 hospitalizedpatients(127 males,173 females,aged 22 ~81 yrs)with cerebral vascular disease at the neurology department of the hospital in thepast 2 years were selected as the study group,while 300 healthy people(142 males,158 females,aged 21 ~77 yrs)at the outpatientmedical examinations as the control group.To analysis the influence factors of emotional disorder,Hamilton anxiety and depression self-rating depression scale,social support scale were all taken for scoring records and statistics.Results Results of HAMD,HAMA scoreshowed,168 cases had been checked out symptoms of emotional disorders (56%)in the study group,there into the incidence of de-pressive symptoms patients was 76.79%,and the incidence of anxiety symptoms patients was 62.50%,were both higher than the con-trol group,and the difference had a statistically significant (P <0.001).Combined results of MESS assessment,the incidence of emo-tional disorders in severe neurological deficits patients for 87.34%,incidence in medium neurological deficits patients for 55.24%,were both significantly higher than the light neurologic deficits patients (35.34%),the difference was statistically significant (P <0.05).Results of PSSS assessment showed that social support score of study group (68.02 ±9.34),which were lower than that of thecontrol group(88.36 ±7.54),the differences were statistical significantly (t =29.35,P <0.001).Linear correlation analysis had beentaken between3 dimensions of the Neurologic rating and HAMD,HAMA standard,turned out that there was a positive correlation be-tween them,the difference was statistically significant (P <0.05).Conclusion The mental problems of hospitalized patients with ce-rebrovascular disease in neurology department are mainly depression,anxiety,far higher than the general population,and the hospitaliza-tion neurological deficit scores and the social support are closely related.