失能状况及神经功能缺损对脑梗死患者ASD的影响
Effects of Disability Status and Neurological Impairment on Acute Stress Disorder in Patients with Cerebral Infarction
刘雪芳 1王桂华 1苗凤茹1
作者信息
- 1. 航天中心医院神经内科,北京市,100049
- 折叠
摘要
目的 探讨脑梗死患者急性应激障碍的现状及失能状况、神经功能缺损对其的影响.方法 采用一般状况调查表、斯坦福急性应激反应问卷、日常生活能力量表、神经功能缺损评分对某院神经内科和神经外科2019年5月10日-2021年5月9日脑梗死住院的464例患者进行问卷调查.结果 464例患者SASRQ总分66.44±43.761,10～39分者310人(66.81%),40～56分者56人(12.07%),57～146分者98人(21.12%).结果 显示,性别(β=0.129)、吞咽功能障碍(β=0.085)、失能状况(β=-0.137)、神经功能缺损(β=0.145)进入回归方程(P＜0.05).结论 脑梗死患者存在明显的急性应激症状,重度失能、重型神经功能缺损、吞咽功能障碍、女性患者发生急性应激障碍的可能性大.
Abstract
Objectives To investigate the status of Acute Stress Disorder(ASD)among cerebral infarction patients,and investigate the effect of disability status and neurological function on them.Methods A total of 464 patients were enrolled from a hospital neurology department and neurosurgery department from May 2019 to May 2021 and they were tested with the general situation,Stanford Acute Stress Reaction Questionnaire(SASRQ),Activity of Daily Living Scale(ADL)and Neurological Deficit Scores.Results Among 464 subjects,SASRQ total score were(66.44±43.761),66.81%had the SASRQ total scores of 10-39,12.07%had the SASRQ total scores of 40-56,and 21.12%had scores of 57-146.The items of gender(β=0.129),dysphagia(β=0.085),disability(β=-0.137),and neurological deficit(β=0.145)were picked in the regression equation(P＜0.05).Conclusions The cerebral infarction patients had serious acute stress symptoms.The individuals who had severe disability,severe neurological deficit,dysphagia,and acute stress disorder in female patients might be more likely to get acute stress disorder.
关键词
急性应激障碍/脑梗死/失能状况/神经功能缺损Key words
Acute stress disorder/Cerebral infarction/Disability status/Neurological impairment引用本文复制引用
出版年
2024
NETL
NSTL
万方数据