| Objective To explore the mental health conditions of hospitalized patients withcerebrovascular disease in the neurological department of a triple A hospital, the relatedfactors of inpatients with mood disorder were investigated and analysis.Methods The general demographic characteristics and basic data of300cases ofhospitalized patients with cerebrovascular disease in the neurological department of atriple A hospital were collected in recent2years, over300cases in healthy populationwhich were taken outpatient medical examinations in the same hospital, is used as thecontrol group. During the process of investigations, modified Edinburgh Scandinaviascore(MESS) was used to determine the degree of neurological deficit, Symptomchecklist (SCL-90), the Hamilton anxiety scale (HAMA), the Hamilton depressionrating scale (HAMD), perceived social support scale (PSSS) were used to assess thestatus of hospitalized patients with emotional disorders, the factors affecting theoccurrence of mood disorders were analysis.Results The effective rate of recovery and payment of the questionnaire summaryduring the study were both100%. There were127male (42.33%) and173female(57.67%). As the age distribution of the300subjects:75Youth (under44years old),accounting for25%,97Middle age (45~59years old), accounting for32.33%,128Elderly (60years and over), accounting for42.67%. The distribution of disease:29cases suffering from transient cerebral ischemia attack (9.67%),112cases suffering from cerebral thrombosis (37.33%),84cases suffering from cerebralembolism (28%),34cases suffering from cerebral hemorrhage (11.33%),41cases suffering fromsubarachnoid hemorrhage (13.67%). Marital status:34cases were unmarried(11.33%),and266cases were married (88.67%), in which47cases were divorced (15.67%), and103cases widowed (34.33%). Educational history:96cases with secondary and highereducation (32%),116cases with primary school education (38.67%),88cases wereilliterate (29.33%). Residence:149cases were urban residents (49.67%),66cases wereresidents in villages and towns (22%),85cases were living in the country (28.33%).The onset times of disease:215cases for the first time, accounting for71.67%,85casesof non-first-episode, ccounted for28.33%. Course of disease:117cases with the course≤1months (39%),183cases with the course＞1months (61%).Social interaction:134cases prefer to frequent social contact (44.67%),166cases prefer to not interactingwith people (55.33%).Medical economic security:228cases were insured patients,accounting for76%,72cases were self-supporting patients, accounting for24%. Thediagnosis:236cases had a definite diagnosis, accounting for78.67%,64cases had adoubtful diagnosis, accounted for21.33%. In300cases of patients with cerebrovasculardisease hospitalized in Department of Neurology,168cases had been checking outsymptoms of emotional disorders, the incidencewas56%. In the object of study,129cases had been checking out depressive symptoms, the incidence was76.79%,54caseswere male (42.52%) and75cases were female (43.35%), there was no significantdifference between them.105cases had symptoms of anxiety, the incidence was62.50%,62cases were male (48.82%) and43cases were female (24.86%), detectionrate of anxiety in male patients was higher than the female, the difference wasstatistically significant (2=18.486, P <0.05). Incidence of depression and anxietywere different in hospitalized patients with different age group, the detection rate ofdepression in young group, middle age group and elderly group were:46.67%,31.96%,49.22%, the highest in old group, and then the young group. Anxiety disorder inmiddle-aged group showed the highest detection rate of49.48%, the elderly group was 28.90%, the young group was26.67%. The positive factor of SCL-90showed, therewere obvious psychological problems of patients with cerebrovascular diseasehospitalized in Department of Neurology, ranged from16%to48.33%, higher than thatof the control group which ranged3%~26.67%, and the positive rates of interpersonalsensitivity, depression, anxiety, hostility, fear, paranoia, psychotic were higher than thatin the control group, the difference was statistically significant (P <0.05or P <0.01).The results of HAMD, HAMA score showed,168cases with emotional disorder in300cases of patients with cerebrovascular disease hospitalized in Department of Neurology,(56%),129cases with the light, moderate depression occurred (76.79%),105cases withmild, moderate anxiety disorders in (62.50%), no severe depression and anxiety disorder.Occurrence rate of Emotional disorder in study group was higher than that in controlgroup, the difference was statistically significant (P <0.05). The assessment results ofMESS,116cases with the light nerve function defect,105cases with medium nervefunction defect,79cases with severe neurological functional defect.87.34%patientswith severe neurological deficits had emotional disorder,55.24%patients with mediumnerve function defect had emotional disorder, which were both significantly higher thanthat with mild neurological deficits (35.34%), the difference was statistically significant(P <0.05). That means the higher degree of neural function defect, the higher incidenceof emotional disorder. The assessment results of PSSS showed, social support score ofthe study group was (68.02±9.34), lower than that of the control group which were(88.36±7.54), the difference was statistically significant (t=-29.35, P<0.001).Correlation analysis showed, incidence of emotional disorders in hospitalized patientswith cerebrovascular disease, were associated with neurological deficit scores, socialsupport degree. Multiple factors non conditional Logistic regression analysis showedthat the common factors of patients with HAMA, HAMD, are includes age, maritalstatus, social contact less, neural function defect degree, less social support. Factorsinfluencing depression are the non-first-episode, higher education. Factors influencinganxiety are medical without security, long course of disease. Conclusions Psychological problems mainly for depression, anxiety, terror, paranoid,during hospitalization of patients with cerebrovascular disease were far higher than thegeneral population. The influence of depression and anxiety were associated with age,marital status, social contact less, neural function defect degree, less social support. |
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