恢复期脑卒中后残疾患者抑郁状态与残疾的关系

摘要

Objective To explore the relationship between depression and disability in patients with poststroke disability in recovery phase,and the mediation effect of self-efficacy and social support.Methods Totally 378 stroke patients in recovery phase were investigated by using Modified Barthel Index (MBI),Self-Rating Depression Scale(SDS),Social Support Rating Scale(SSRS),General Self-efficacy Scale(GSES).Results Depression and self-efficacy could predict disability directly.Self-efficacy and social support played a mediating role between depression and disability.Conclusions Medical staff should be based on the structural equation model as the foundation,provide comprehensive assessment and individualized targeted interventions and then alleviate disability of stroke patients.%目的 探讨恢复期脑卒中后残疾患者抑郁状态与残疾的关系及自我效能、社会支持的中介效应.方法 采用改良Barthel指数量表、抑郁自评量表、一般自我效能感量表、社会支持评定量表,对恢复期脑卒中后残疾患者进行调查.结果 恢复期脑卒中后残疾患者抑郁状态、自我效能均可直接预测其残疾状况,自我效能、社会支持在患者抑郁状态与残疾间发挥部分中介效应.结论 对恢复期脑卒中后残疾患者进行康复训练时,应以结构方程模型为基础,通过对患者的全面评估给予个体针对性的干预措施,提高患者的自我效能,增强对患者的社会支持,从而有效改善患者的残疾状况.