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预防医学  2019, Vol. 31 Issue (5): 441-444    DOI: 10.19485/j.cnki.issn2096-5087.2019.05.003
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脑卒中后吞咽障碍患者焦虑和抑郁情绪影响因素研究
楼巍敏1, 葛黎菁2, 李海龙1, 求佳1
1.浙江医院康复医学科,浙江 杭州 310013;
2.浙江省卫生监督所
Influencing factors for anxiety and depression in patients with dysphagia after stroke
LOU Wei-min*, GE Li-jing, LI Hai-long, QIU Jia
* Department of Rehabilitation Medicine,Zhejiang Hospital,Hangzhou,Zhejiang 310013,China
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摘要 目的 分析脑卒中后吞咽障碍患者抑郁和焦虑情绪发生的影响因素。方法 选取2017年5月—2018年6月在浙江医院康复医学科住院治疗的脑卒中后吞咽障碍并需管饲进食的患者,收集身高、体重、文化程度、血清营养学指标和管饲方式等资料,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估其焦虑和抑郁情绪发生情况,并采用Logistic回归模型分析抑郁和焦虑情绪发生的影响因素。结果 共纳入96例脑卒中后吞咽障碍患者,发生焦虑情绪34例,发生率为35.42%;发生抑郁情绪29例,发生率为30.21%。Logistic回归分析结果显示,白蛋白正常(OR=0.208,95%CI:0.054~0.800)是脑卒中后吞咽障碍患者发生焦虑情绪的保护因素,而留置胃管(OR=5.789,95%CI:1.654~20.260)是危险因素。转铁蛋白正常(OR=0.189,95%CI:0.042~0.860)是脑卒中后吞咽障碍患者发生抑郁情绪的保护因素,而留置胃管(OR=13.977,95%CI:1.472~132. 667)是危险因素。结论 脑卒中后吞咽障碍患者抑郁和焦虑情绪发生率较高,白蛋白正常是患者发生焦虑情绪的保护因素,转铁蛋白正常是患者发生抑郁情绪的保护因素,留置胃管是患者发生焦虑或抑郁情绪的危险因素。
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求佳
关键词 脑卒中吞咽障碍焦虑抑郁    
AbstractObjective To investigate the influencing factors for depression and anxiety in patients with dysphagia after stroke. Methods From May 2017 to June 2018,patients with post-stroke dysphagia in the Department of Rehabilitation Medicine of Zhejiang Hospital were recruited to collect their height,weight,education level,serum nutritional indicators and feeding patterns. Self-Rating Anxiety Scale and Self-Rating Depression Scale were employed to assess the incidence of anxiety and depression. Multivariate logistic regression model was used to analyze the influencing factors for depression and anxiety. Results Among 96 patients enrolled,43 suffered from anxiety and depression,with the incidence of 44.79%. The results of multivariate logistic regression analysis showed that normal albumin(OR=0.208,95%CI:0.054-0.800)was a protective factor for anxiety,while indwelling gastric tube(OR=5.789,95%CI:1.654-20.260)was a risk factor. Normal transferrin(OR=0.189,95%CI:0.042-0.860)was a protective factor for depression,while indwelling gastric tube(OR=13.977,95%CI:1.472-132.667)was a risk factor. Conclusion Normal albumin and transferrin are the protective factors for anxiety and depression in patients with dysphagia after stroke,and indwelling gastric tube is the risk factor for anxiety or depression.
Key wordsStroke    Dysphagia    Anxiety    Depression
收稿日期: 2019-01-14      出版日期: 2019-05-13
ZTFLH:  R74  
基金资助:浙江省卫计委一般适宜技术项目(2015ZHA002)
通信作者: 楼巍敏,E-mail:lwmzjyy@126.com   
作者简介: 楼巍敏,本科,副主任护师,主要从事护理管理和康复护理研究
引用本文:   
楼巍敏, 葛黎菁, 李海龙, 求佳. 脑卒中后吞咽障碍患者焦虑和抑郁情绪影响因素研究[J]. 预防医学, 2019, 31(5): 441-444.
LOU Wei-min, GE Li-jing, LI Hai-long, QIU Jia. Influencing factors for anxiety and depression in patients with dysphagia after stroke. Preventive Medicine, 2019, 31(5): 441-444.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2019.05.003      或      http://www.zjyfyxzz.com/CN/Y2019/V31/I5/441
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