社会和心理因素与中风后认知障碍之间的关系:一项前性研究
Yao Li1,2, Aijie Tang3, Lili Ge4
1Department of Nursing, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Frontiers in psychiatry
|July 12, 2024
概括
抑郁症和自我感知负担等社会和心理因素与中风后的认知障碍有关. 对这些问题的早期查可能有助于恢复.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 认知障碍是急性缺血性中风后的常见并发症.
- 社会和心理因素可能会影响中风恢复和认知结果.
研究的目的:
- 调查社会和心理因素与急性缺血性中风后认知障碍风险之间的关联.
主要方法:
- 一项前性研究涉及211名上海第十人民医院的患者.
- 社会支持,自我感知的负担和抑郁症状在入院后3天内被评估.
- 在中风后3个月使用蒙特利尔认知评估评估认知功能.
- 用物流层次回归模型来分析这些关联.
主要成果:
- 55.9%的参与者在中风后3个月经历了认知障碍.
- 自我感知负担量表 (SPBS) 和汉密尔顿抑郁量表 (HAMD) 的较高得分与认知障碍的几率增加有显著关联.
- 在社会支持评分表 (SSRS) 和中风后认知障碍之间没有发现显著的关联.
结论:
- 自我感知的负担和抑郁症状是缺血性中风3个月后认知障碍的显著预测因素.
- 早期查抑郁症和解决自我感知的负担可能会支持临床决策并改善认知功能恢复.
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