一项关于焦虑和感知恢复的队列研究,在轻度至中度中风后的3个月和12个月
Linda Nelsone1,2, Lena Rafsten3,4, Tamar Abzhandadze3,4
1Faculty of Residency, Riga Stradins University, Riga, Latvia.
Frontiers in neurology
|October 30, 2023
概括
脑卒中后的焦虑与感知到一年的恢复率较低有关. 在中风幸存者中早期识别焦虑可能有助于预测那些风险较低的恢复结果.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
背景情况:
- 焦虑是中风后常见的并发症,影响了三分之一的幸存者.
- 脑卒中恢复是一个动态的过程,通常在前三个月内出现显著改善.
- 焦虑对中风恢复轨迹的具体影响仍然在很大程度上未被探索.
研究的目的:
- 调查焦虑对脑中风后三个月和十二个月感知中风恢复的影响.
- 为了检查三到十二个月之间的感知中风恢复的变化.
- 为了确定焦虑和感知恢复的进展之间的关系.
主要方法:
- 一项纵向研究涉及99名在瑞典萨尔格伦斯卡大学医院的中风患者.
- 使用医院焦虑和抑郁量表来评估焦虑.
- 使用中风影响量表测量了感知到的恢复,在中风后的3个月和12个月.
主要成果:
- 在三个月 (p < 0.001) 和十二个月 (p = 0.002) 之间发现了焦虑和较低的感知中风恢复之间的显著联系.
- 大约17.6%和15.7%的患者分别在3个月和12个月经历了焦虑.
- 在患有焦虑症的患者中,从3个月到12个月的恢复中观察到积极的变化 (p = 0.004在3个月,p = 0.0014在12个月).
结论:
- 脑卒中后的焦虑症状与至少一年的感知恢复减弱有关.
- 在中风幸存者中早期识别焦虑可能有助于识别患有较差康复风险较高的人.
- 这些发现强调了在中风康复中解决焦虑的重要性,以潜在地改善患者的治疗结果.
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