车祸所致颅脑损伤患者恢复期抑郁多因素分析
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- 英文论文题名：Multiple Analysis on Depression and Related Factors of the Patients with Craniocerebral Injury by Traffic Accident in Recovery Phase
- 论文作者：秦天星 ; 郭细先 ; 张连仲 ; 付可登 ; 刘堂龙 ; 陈连洲 ; 徐莉
- 英文论文作者：QIN Tian-xing ; LIU Tang-long ; CHEN Lian-zhou ; XU Li ; The Psychiatric Hospital of Ningbo City
- 年：2014
- 作者机构：宁波市精神病院;
- 论文关键词：颅脑损伤 ; 抑郁 ; 因素分析 ; 交通事故
- 英文论文关键词：Craniocerebral injury ; Depression ; Factors analysis ; Traffic accident
- 会议召开时间：2014-11-20
- 会议录名称：2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会论文汇编
- 语种：中文
- 分类号：R651.15;R749.4
- 学会代码：ZJKX
- 会议名称：2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会
- 会议地点：中国浙江湖州
- 主办单位：浙江省医学会精神病学分会（The Society of Psychiatry ; ZJMA）、浙江省医师协会精神科医师分会
- 学会名称：浙江省科学技术协会
- 页数：5
- 文件大小：398k
- 原文格式：O
- 会议级别：地方
摘要
目的对车祸所致颅脑损伤患者恢复期抑郁及其相关因素进行探讨,为进一步干预积累临床资料。方法对240例车祸所致颅脑损伤恢复期患者,采用一般情况调查问卷进行调查,用抑郁自评量表(SDS)、日常生活能力量表(ADL)和社会支持评定量表(SSRS)进行测评,比较分析患者一般资料和ADL、SSRS评分与SDS评分的关系。结果本组患者SDS评分>53分86例,阳性率35.83%;多元回归分析,ADL评分、经济状况、赔偿落实、工作恢复、年龄、昏迷时间、SSRS评分和职业8个因素进入SDS逐步回归方程:y=44.456+1.19x1-1.3x2-2.31x3-2.573x4-0.038x5+0.055x6-0.239x7+0.602x8(F=369.848,P=0.000),并能预测SDS评分变异的92.5%(F=5.177,P=0.024)。结论车祸所致颅脑损伤患者在恢复期抑郁的发生率较高,主要与心理、社会因素相关,日常生活能力、经济状况和社会支持较差,年龄较小、职员、昏迷时间较长、未恢复工作、经济赔偿未落实的患者,抑郁发生率相对较高且程度较重。临床上要注意这些因素的消极影响,给予切实有效的干预,促进患者早日康复。
Objective To explore the depression and related factors of the patients with craniocerebral injury by traffic accident in recovery phase,to accumulate clinical data for further intervention.Methods 240 patients with craniocerebral injury by traffic accident in recovery phase were investigated with the questionnaire about general condition and were evaluated with Self-Rating Depression Scale(SDS),Activity of Daily Living Scale(ADL) and Social Support Rating Scale(SSRS).To compare and analyse the relationship between the scores of SDS and the general data or scores of ADL and SSRS.Results There were 86 cases(35.83%)with score of SDS >53 in the group.By multiple regression analysis,the scores of ADL and SSRS,economy state,economic compensation,to return to work,age,time of coma and professional entered into the regression equation of SDS:y=44.456+l.19x1-1.3x2-2.31x3-2.573x4-0.038x5+0.055x6-0.239x7 +0.602x8(F=369.848,P=0.000).It can forecast 92.5%scores variation of SDS(F=5.177,P=0.024).Conclusion The patients with craniocerebral injury by traffic accident usually have a depressed mood in recovery phase.The depression is mainly related to psychological and social factors.The patients with worse activity of daily living or economy state and social support,to be young and a clerk,not to return to work and not to pay off economic compensation have a much more serious depression.In the clinic,more attention should be paid to these negative factors.Some practical and effective intervention must be done to prompte the patients for recovery early.
Objective To explore the depression and related factors of the patients with craniocerebral injury by traffic accident in recovery phase,to accumulate clinical data for further intervention.Methods 240 patients with craniocerebral injury by traffic accident in recovery phase were investigated with the questionnaire about general condition and were evaluated with Self-Rating Depression Scale(SDS),Activity of Daily Living Scale(ADL) and Social Support Rating Scale(SSRS).To compare and analyse the relationship between the scores of SDS and the general data or scores of ADL and SSRS.Results There were 86 cases(35.83%)with score of SDS >53 in the group.By multiple regression analysis,the scores of ADL and SSRS,economy state,economic compensation,to return to work,age,time of coma and professional entered into the regression equation of SDS:y=44.456+l.19x1-1.3x2-2.31x3-2.573x4-0.038x5+0.055x6-0.239x7 +0.602x8(F=369.848,P=0.000).It can forecast 92.5%scores variation of SDS(F=5.177,P=0.024).Conclusion The patients with craniocerebral injury by traffic accident usually have a depressed mood in recovery phase.The depression is mainly related to psychological and social factors.The patients with worse activity of daily living or economy state and social support,to be young and a clerk,not to return to work and not to pay off economic compensation have a much more serious depression.In the clinic,more attention should be paid to these negative factors.Some practical and effective intervention must be done to prompte the patients for recovery early.
引文
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[10]刘杰,胡西,代新年,等.颅脑损伤后抑郁的心理干预研究进展[J].中国疗养医学,2013,22(10):898-899
[11]闫春雷,冯永格,张林红.路优泰联合心理干预治疗颅脑损伤后抑郁的疗效观察[J].白求恩军医学院学报,2010,8(1):36
[12]雷春玲,刘丽芳,黄金萍.卒中后抑郁与患者生活能力和社会支持的相关性[J].中国健康心理学杂志,2013,21(1):32-34
[13]周伶俐,王晓琴,熊海荣.肺结核患者抑郁与社会支持的相关性[J].中国健康心理学杂志,2012,20(11):1639-1640
[2]肖东升.颅脑损伤后抑郁的发生情况及影响因素研究[J].现代预防医学,2011,38(24):5055-5056,5059
[3]刘建民,孙鸿,黄良才,等.颅脑损伤后抑郁的发生情况及影响因素研究[J].现代预防医学,2011,38(13):2535-2536,2538
[4]刘堂龙,秦天星,夏树剑,等.颅脑损伤患者康复期抑郁情绪及相关因素分析[J].中国康复理论与实践,2012,18(6):583-585
[5]张明园,主编.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,2003:122-127,166-168
[6]汪向东,主编.心理卫生评定量表手册[M].北京:中国心理卫生杂志出版社,1999.127-131
[7]郝伟,主编.精神科疾病临床诊疗规范教程[M].北京:北京大学医学出版社,2009.223-233
[8]丁鸿飞,乔歆新,于海涛,等.78例脑挫裂伤与精神障碍的临床分析[J]_浙江创伤外科,2010,15(4):497-498
[9]李蓝江,瞿勇强,李利华.颅脑损伤致精神障碍的法医学研究进展[J].昆明医学院学报,2009,30(3B):21-22
[10]刘杰,胡西,代新年,等.颅脑损伤后抑郁的心理干预研究进展[J].中国疗养医学,2013,22(10):898-899
[11]闫春雷,冯永格,张林红.路优泰联合心理干预治疗颅脑损伤后抑郁的疗效观察[J].白求恩军医学院学报,2010,8(1):36
[12]雷春玲,刘丽芳,黄金萍.卒中后抑郁与患者生活能力和社会支持的相关性[J].中国健康心理学杂志,2013,21(1):32-34
[13]周伶俐,王晓琴,熊海荣.肺结核患者抑郁与社会支持的相关性[J].中国健康心理学杂志,2012,20(11):1639-1640