Influencing Factors of Post-stroke Depression and the Impact on the Quality of Life
10.12007/j.issn.0258-4646.2017.09.017
- VernacularTitle:卒中后抑郁的影响因素及其对生活质量的影响
- Author:
Sibo WANG
1
;
Huibin WANG
;
Huiling QU
;
Shanshan ZHAO
;
Chuansheng ZHAO
Author Information
1. 中国医科大学附属第一医院神经内科
- Keywords:
post-stroke depression;
age;
previous medical history;
quality of life
- From:
Journal of China Medical University
2017;46(9):844-847
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of patients with post-stroke depression (PSD) and study their impact on the quality of life.Methods Fifty-two stroke patients admitted to the First ospital of China Medical University from February 2015 to May 2015 were randomly selected for the study,and these patients did not suffer depression as evaluated by the depression rating scale.Their age,history of diseases,types of diseases,cause of illness,disease area and treatments were collected in detail.These patients were followed up for six month.The mental state was assessed by Hamilton depressive scale (HAMD) and self-rating depressive scale (SDS).The life quality was evaluated by stroke specific quality of life score (SS-QOL) and modified Rankin scale(mRS).These data were selected by stratified sampling method and analyzed by SPSS 17.0 software.Results The incidence of PSD in elder patients (≥ years) was significantly higher than in the younger patients (P ＜ 0.05).Patients with cardiogenic cerebral embolism are more likely to suffer from PSD (P ＜ 0.05).The patients with infarction in different regions have different probability to suffer from PSD.Those patients with cerebral infarction in basal ganglia exhibited more possibility on PSD than others (P ＜ 0.01).Previous disease,including hypertension,diabetes and coronary disease,had no effects on PSD.There were no significant effects of stroke types and thrombolytic therapy on PSD.PSD had an unfavorable effect on the life quality of the patients.Conclusion The patients with cerebral infarction in basal ganglia,aged over sixty and cardiogenic cerebral embolism are prone to PSD,and we should pay more attention to them.PSD has a negative impact on the quality of life of patients.
