中風病人憂鬱情緒及其相關因素探討－以南台灣某醫院為例

Related Factors for Depressive Symptoms among Patients with Stroke-A Hospital-Based Study in Southern Taiwan

邱善筠(Shan-Yun Chiu) ； 曹汶龍(Long-Lung Tsao) ； 蔡宗益(Tzung-Yi Tsai)

《中華職業醫學雜誌》 21卷2期 (2014/04) Pp. 73-80

摘要

背景：醫療技術雖能有效改善中風病人存活率，但後續生理損傷恐會誘發負面情緒，以致危害患者預後。目的：研究旨在評估中風病人之憂鬱情緒及相關因素。方法：採橫斷相關性研究設計，訪查2011年7月至2012年6月至南台灣某醫院就醫之175位中風病人。結構式問卷包括人口學特質、疾病屬性與台灣人憂鬱情緒量表，並以複邏輯斯迴歸進行分析。結果：研究指出，中風個案具憂鬱情緒之盛行率為30.29%，年齡標準化盛行率為18.85%，其中以無宗教信仰、具睡眠困擾、同期罹患其它慢性病、日常生活功能低落，或疾病接受度較負面者，皆為高危險群。結論：醫護人員可據此及早辨別高危險群並介入妥適的復健計畫，力求提高存活率同時，也能提升全人照護品質。

關鍵字

中風 ； 憂鬱情緒 ； 台灣

並列摘要

Background: With the progress of medical technology, the survival rate for stroke patients has continued to improve; however, the subsequent handicap may lead to serious psychological distress to provoke poor clinical manifestations for the affected individuals. Aims: To examine the depressive symptoms and related factors among stroke patients. Methods: A cross-sectional, correlational design with convenience sampling method was used to recruit 175 stroke subjects at a hospital in southern Taiwan between Jul. 2011 and Jun. 2012. The structured questionnaire used gathered information on respondent demographic data, disease characteristics, and information provided by the Taiwanese Depression Questionnaire. Influencing factors were determined by multiple logistic regression. Results: Findings showed that the crude and age-standardized prevalence of depressive symptoms among the participants were 30.29% and 18.85%, respectively. Those who had sleep disturbances, comorbidities, reporting having no religious belief, poorer activity of daily living, or lower level of acceptance of disability demonstrated a significantly higher risk of depression compared to those without these conditions. Conclusion: Findings may be beneficial in identifying the epidemiology of depressive symptoms and pinpointing individuals with a higher predisposition for depressive symptoms, which could then facilitate the provision of appropriate rehabilitation interventions to enhance the quality of holistic care as well as survival rates for them.

並列關鍵字

stroke ； depressive symptoms ； Taiwan