Psychological mood and its related factors in patients with cerebral infarction
- VernacularTitle:脑梗死患者心理状态及其相关因素分析
- Author:
Shuibin LI
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2006;10(46):186-188
- CountryChina
- Language:Chinese
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Abstract:
BACKGROUND: Cerebral infarction can not only directly cause depression, but also indirectly influence psychological mood so as to cause negative effect during therapeutic process at various degrees.OBJECTIVE: To study the psychological mood and related factors of the inpatients with cerebral infarction.DESIGN: Cross-section observation.SETTING: Neurological Department of Meizhou People's Hospital of Guangdong Province.PARTICIPANTS: A total of 91 inpatients with cerebral infarction were selected from Meizhou People's Hospital of Guangdong Province from 2000 to 2002. All patients were diagnosed as cerebral infarction with clear mind and stable illness with CT. They were inquired to answer questionnaires individually.METHODS: ① Ninety-one patients with cerebral infarction were inquired questionnaires individually with Self-Rating Anxiety Scale (SAS) and Selfrating Depression Scale (SDS). Both scales contained 7 questions and the total scores were 0-21 points. If scores were more than 9 points, patients were diagnosed as anxiety or depression. ② Induction of depression and anxiety was evaluated on the aspects of physical and social factors. Physical factors included dizziness, headache, agrypnia, active disorder of limbs (muscle force was lower than grade 4 and patients could not walk individually) and poor response (pulmonary infection, urologic infection, bedsore,hemorrhage of alimentary tract, febrile, etc.). Social factors included age,sex, marriage, education, careful degree, economic status (whether patients were able to afford all cost of hospitalization or not) and overtime of hospitalization (＞ 1 month). Results were assessed with Binary analysis. The relative risk of value was expressed as Exp (B), and B means partial regression coefficient.MAIN OUTCOME MEASURES: Correlation among depression, anxiety,physical factor and social factor of patients with cerebral infarction.RESULTS: All 91 patients were involved in the final analysis. ① Correlation of depression with physical and social factors. Of the 91, 38 patients (41.8%) suffered from depression. Therefore, depression was closely correlated with physical and social factor. Physical factors of induction of depression, such as headache, dizziness, active disorder of limbs and poor response, wereas higher than those patients who did not have (P ＜ 0.01).Social factors of incidence of depression of patients who had poor care and overtime of hospitalization were increased (P ＜ 0.01). Onset of depression was not related to age, sex, marriage, educational level, economic status and sleeping status (P ＞ 0.05). ② Correlation of anxiety with physical factor and social factor: Of the 91 patients, 28 cases (30.8%) had anxiety;therefore, anxiety was closely correlated with physical and social factors.Physical factors of induction of anxiety, such as poor response and slow recovery of paralysis, were higher than those patients who did not have (P＜ 0.05). Social factors of induction of anxiety in female patients who had high educational level, poor care and poor economic status were increased (P ＜ 0.05). Onset of anxiety was not related to age, marriage, time of hospitalization, headache, dizziness and asomnia (P ＞ 0.05).CONCLUSION: Anxiety and depression are the most common psychological disturbances in patients with cerebral infarction, which are closely correlated with physical and social factors. Thus psychotherapy and care should be performed in inpatients with cerebral infarction.
