脑出血术后患者恐动症发生情况及影响因素分析
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Analysis of the status and influencing factors of agoraphobia in postoperative patients with intracerebral hemorrhage
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    摘要:

    目的 探讨脑出血术后患者恐动症的发生情况和影响因素。方法 采用横断面调查研究, 选取 2018 年 6 月至 2019 年 12 月入住四川省某三级甲等医院神经综合病房的脑出血手术患者为研究对 象,应用一般情况调查表、改良 Rankin 量表(mRs)、疼痛视觉模拟评分表(VAS)、恐动症 Tampa 量表(TSK)、 社会支持评定量表(SSRS)、医院焦虑抑郁量表(HADS)对符合纳入标准的患者进行问卷调查,分析脑出血 术后患者恐动症的影响因素。结果 纳入 192 例脑出血术后患者,恐动症发生率为 35.7% (68/192),TSK 得分为(38.98±9.65)分。恐动组(TSK > 37 分)与非恐动组(TSK ≤ 37 分)文化程度比较差异有统计学 意义(χ2 =30.03,P< 0.05);恐动组的疼痛评分[(4.55±0.73)分]、焦虑评分[(11.31±1.6)分]、抑郁评分 [(12.1±2.07)分]、残疾程度[(2.24±1.14)分]均高于非恐动组[(2.04±0.82)、(8.96±1.62)、(8.21±1.54)、 (1.06±0.92)分],差 异 均 有 统 计 学 意 义(t=21.128、9.661、14.707、14.354,P< 0.05)。 恐 动 组 的 SSRS [(27.88±4.04)分]低于非恐动组[(35.15±2.96)分],差异有统计学意义(t=10.233,P< 0.05)。单因素 分析及相关性分析显示,文化程度、疼痛评分、焦虑评分、抑郁评分、SSRS 和残疾程度与恐动症发生差 异有统计学意义(P< 0.05)。多元线性回归分析显示,疼痛评分(t=7.875,P< 0.001)、焦虑评分(t=4.190, P< 0.001)、抑 郁 评 分(t=3.917,P< 0.001)、社 会 支 持 水 平(t=-2.469,P=0.014)和 残 疾 程 度(t=6.052, P< 0.001)是发生恐动症的影响因素。结论 脑出血术后患者的恐动症发生率较高,疼痛程度、焦虑抑 郁程度、社会支持度和残疾程度是脑出血术后患者恐动的影响因素。

    Abstract:

    Objective To explore the current situation and influencing factors of agoraphobia after incerebral hemorrhage operation. Methods A cross-sectional study was carried out on the patients with intracerebral hemorrhage who were admitted to the Department of Neurological Comprehensive Ward of a 3A hospital in Sichuan Province from June 2018 to December 2019. The general condition questionnaire, Modified Rankin Scale (mRS), Visual Analogue Scale (VAS), Tampa Scale of Kinesiophobia (TSK), Social Support Rating Scale (SSRS) and Hospital Anxiety and Depression Scale (HADS) were used to investigate the patients who met the inclusion criteria, and to analyze the influencing factors of agoraphobia after cerebral hemorrhage operation. Results The incidence of dyskinesia was 35.7% (68/192), and the average score of TSK was (38.98±9.65). There were 68 cases in the Kinesiophobia group (TSK > 37 points) and 124 cases in the non-Kinesiophobia group (TSK ≤ 37 points). The difference in educational level between the two groups was statistically significant (χ2 =30.03,P< 0.05). The scores of pain (4.55±0.73), anxiety (11.31±1.6), depression (12.1±2.07), degree of disability (2.24±1.14) were higher than those in non-Kinesiophobia group[ (2.04±0.82), (8.96±1.62),(8.21±1.54), (1.06±0.92)], respectively, and the differences were statistically significant (t=21.128,9.661, 14.707,14.354,P < 0.05). The score of SSRS in Kinesiophobia group (27.88±4.04) was lower than that in non-Kinesiophobia group (35.15±2.96), and the difference was statistically significant (t=10.233,P < 0.05). Univariate analysis and correlation analysis showed that education level, pain score, anxiety score, depression score, SSRS and disability degree were statistically significantly associated with the occurrence of kinesiophobia (P < 0.05). The multivariate regression analysis showed that VAS (t=7.875, P < 0.001), anxiety score (t=4.190, P< 0.001), depression score (t=3.917, P< 0.001), SSRS (t=-2.469, P=0.014) and disability degree (t=6.052, P< 0.001) were the risk factors for the development of kinesiophobia. Conclusions The incidence of kinesiophobia is higher in patients with intracerebral hemorrhage after operation. The degree of pain, anxiety and depression, social support and disability are the influencing factors of kinesiophobia

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韩慧 付苏 樊朝凤 段丽娟 蒋艳.脑出血术后患者恐动症发生情况及影响因素分析[J].神经疾病与精神卫生,2021,21(9):
DOI :10.3969/j. issn.1009-6574.2021.09.009.

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  • 在线发布日期: 2021-09-28