| 摘要: |
| 目的探讨车祸所致颅脑损伤患者恢复期抑郁及其相关因素。方法对240例车祸所致颅脑损伤恢复期患者，采用一般情况调查问卷、抑郁自评量表（SDS）、日常生活能力量表（ADL）和社会支持评定量表（SSRS）进行测评，比较分析患者一般资料与SDS、ADL、SSRS评分的关系。结果240例患者SDS评分＞53分86例，阳性率35.83%；多元回归分析发现，ADL评分、经济状况、赔偿落实、工作恢复、年龄、昏迷时间、SSRS评分和职业8个因素进入SDS逐步回归方程：y=44.456+1.19x1-1.3x2-2.31x3-2.573x4-0.038x5+0.055x6-0.239x7+0.602x8（F=369.848，P=0.000），并能预测SDS评分变异的92.5%（F=5.177，P=0.024）。结论车祸所致颅脑损伤患者在恢复期抑郁的发生率较高，主要与心理、社会因素相关，日常生活能力、经济状况和社会支持较差，年龄较小、职员、昏迷时间较长、未恢复工作、经济赔偿未落实的患者，抑郁发生率相对较高且程度较重。 |
| 关键词: 颅脑损伤 抑郁 因素分析 交通事故 |
| DOI： |
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| Related Factors of depression in patients with traffic accident-induced craniocerebral injury during recovery phase |
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QIN Tianxing, GUO Xixian, ZHANG Lianzhong, FU Kedeng, LIU Tanglong, CHEN Lianzhou, XU Li
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Ningbo Municipal Psychiatric Hospital
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| Abstract: |
| Objective To analyze the related factors of depression in patients with traffic accident-induced craniocerebral injury during recovery phase. Methods Two hundred and forty patients with craniocerebral injury induced by traffic accident during recovery phase were included in the study. Patients were evaluated with questionnaire for general information, Self-Rating Depression Scale (SDS), Activity of Daily Living Scale (ADL) and Social Support Rating Scale (SSRS). The relationship of general conditions with scores of SDS, ADL and SSRS was analyzed. Results There were 86 cases (35.83%) with SDS score＞53 in the group. With SDS score as dependent variable (y) and ADL score, family economic status, financial compensation, returning to work, age, duration of coma, SSRS score and occupation as independent variables (x1~x8), a regression equation was derived from multiple regression analysis: y=44.456+1.19x1 -1.3x2-2.31x3 -2.573x4 -0.038x5+0.055x6-0.239x7 +0.602x8 (F=369.848, P=0.000). Using this equation, SDS scores could be forecasted with a variation of 92.5% (F=5.177, P=0.024). Conclusion The depression would be more likely to develop during the recovery phase after traffic accident-induced craniocerebral injury, if the patients are in younger age, white-collar workers, having poorer family economic status, without financial compensation and e-
nough social support, or not returning to work after injury. |
| Key words: Craniocerebral injury Depression Factors analysis Traffic accident |
