[1]刘志薇,张振香,梅永霞,等.脑卒中患者抑郁症状的潜在剖面分析及影响因素研究[J].解放军护理杂志,2021,38(12):5-8.[doi:10.3969/j.issn.1008-9993.2021.12.002]
　LIU Zhiwei,ZHANG Zhenxiang,MEI Yongxia,et al.Latent Profile Analysis of Depressive Symptoms Among Patients with Stroke and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):5-8.[doi:10.3969/j.issn.1008-9993.2021.12.002]
点击复制

脑卒中患者抑郁症状的潜在剖面分析及影响因素研究()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年12期
页码:
5-8
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
Latent Profile Analysis of Depressive Symptoms Among Patients with Stroke and Its Influencing Factors
文章编号:
1008-9993(2021)12-0005-04
作者:
刘志薇; 张振香; 梅永霞; 林蓓蕾; 张乐芸; 张鹏博; 陈素艳
郑州大学 护理与健康学院,河南 郑州 450001
Author(s):
LIU Zhiwei; ZHANG Zhenxiang;  MEI Yongxia; LIN Beilei; ZHANG leyun; ZHANG Pengbo; CHEN Suyan
School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China
关键词:
脑卒中;  抑郁;  潜在剖面分析;  影响因素
Keywords:
stroke;  depression;  latent profile analysis;  influencing factor
分类号:
R473.74
DOI:
10.3969/j.issn.1008-9993.2021.12.002
文献标志码:
A
摘要:
目的 探讨脑卒中患者抑郁症状的潜在分型并分析不同类别脑卒中患者的特征差异。方法 2019年11月至2020年8月,采用便利抽样法选取郑州市某三级甲等医院神经内科224例脑卒中患者为研究对象,采用一般资料调查表、改良版Rankin量表、病人健康问卷-9、简体中文版创伤后成长评定问卷对其进行调查。采用潜在剖面分析患者抑郁症状的潜在分型,采用多元Logistic回归分析评估各因素对其不同分型的影响。 结果 脑卒中患者抑郁症状分为4个类别:情绪抑郁型(9.4%); 广泛抑郁型(13.8%); 抑郁低风险型(58.0%); 躯体-情绪混合抑郁型(18.8%)。卒中类型、病程、发病次数、躯体症状数、预后情况和创伤后成长得分是影响脑卒中患者抑郁症状潜在剖面分类的预测因素(均P<0.05)。结论 脑卒中患者抑郁症状具有4个潜在类别,医护人员应注重不同患者的抑郁特征,实施有针对性的心理干预,缓解其相关抑郁症状。
Abstract:
Objective To explore the potential classification of depressive symptoms in stroke patients and to analyze the differences in the characteristics of different types of stroke patients.Methods From November 2019 to August 2020,224 stroke patients in the Department of Neurology of a tertiary hospital in Henan Province were selected as the study subjects by the convenience sampling method.The general information questionnaire,modified Rankin Scale,Patient Health Questionnaire 9-item scale,and Chinese Post-traumatic Growth Inventory were used to conduct the survey.Latent profile analysis was adopted to analyze patients’ depressive symptoms,and polynomial logistic regression analysis was performed to assess the effects of various factors on their different categories.Results The depressive symptoms of stroke patients were divided into four categories:emotional depression(9.4%),widespread depression(13.8%),low risk depression(58.0%),and physiological-emotional depression(18.8%).Stroke type,disease duration,number of strokes,number of somatic symptoms,prognosis and post-traumatic growth score were predictors that influence the classification of potential profiles of depressive symptoms in stroke patients(all P<0.05).Conclusions There are four potential categories of depressive symptoms in stroke patients,and health care professionals should focus on the depressive characteristics of different patients and implement targeted psychological interventions to alleviate the related depressive symptoms.

参考文献/References:

[1] GBD 2016 Stroke Collaborators.Global,regional,and national burden of stroke,1990-2016:a systematic analysis for the global burden of disease study 2016[J].Lancet Neurol,2019,18(5):439-458.
[2] 《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2019》概要[J].中国脑血管病杂志,2020,17(5):272-281.
[3] LIMAMPAI P,WONGSRITHEP W,KUPTNIRATSAIKUL V.Depression after stroke at 12-month follow-up:a multicenter study[J].Int J Neurosci,2017,127(10):887-892.
[4] ROBINSON R G,JORGE R E.Post-stroke depression:a review[J].Am J Psychiatry,2016,173(3):221-231.
[5] 郑晓,常韵琪,肖淑娟,等.基于潜在剖面分析的老年人抑郁分型及相关因素[J].中国心理卫生杂志,2020,34(5):431-436.
[6] 尹奎,彭坚,张君.潜在剖面分析在组织行为领域中的应用[J].心理科学进展,2020,28(7):1056-1070.
[7] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J].中华神经科杂志,2019,52(12):994-1005.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[9] YUAN J,WANG Y,HU W,et al.The reliability and validity of a novel Chinese version simplified modified Rankin scale questionnaire(2011)[J/OL].[2021-07-10].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140377/.
[10]范玉华,姬晓昙,蓝琳芳.国内脑卒中临床试验疗效判断方法中改良Rankin评分的应用现状[J].中国神经精神疾病杂志,2015(7):412-415.
[11]郑婷,石玉芝,张宁,等.病人健康问卷-9在卒中抑郁患者中的信度和效度研究[J].北京医学,2013,35(5):352-356.
[12]汪际,陈瑶,王艳波,等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志,2011,26(14):26-28.
[13]ROSENBERG J M,BEYMER P N,ANDERSON D J,et al.TidyLPA:an R package to easily carry out latent profile analysis(LPA)using open-source or commercial software[J/OL].[2021-07-10].https://www.researchgate.net/publication/328204137_tidyLPA_An_R_Package_to_Easily_Carry_Out_Latent_Profile_Analysis_LPA_Using_Open-Source_or_Commercial_Software.
[14]邱皓政.潜在类别模型的原理与技术[M].北京:教育科学出版社,2008:27-69.
[15]王丽琼.HIV感染者/艾滋病患者抑郁症状的潜在类别及其特征[D].济南:山东大学.
[16]林蓓蕾,郭云飞,张振香,等.脑卒中患者疾病体验及其复发风险感知的质性研究[J].中华护理杂志.2021,56(1):80-85.
[17]KELLY G,MORRIS R,SHETTY H.Predictors of post-traumatic growth in stroke survivors[J].Disabil Rehabil,2018,40(24):2916-2924.
[18]崔慧敏,夏征,邢凤梅,等.急性缺血性脑卒中患者急性期疲劳现状及其影响因素[J].解放军护理杂志,2020,37(11):9-12,25.
[19]EZEMA C I,AKUSOBA P C,NWEKE M C,et al.Influence of post-stroke depression on functional independence in activities of daily living[J].Ethiop J Health Sci,2019,29(1):841-846.

相似文献/References:

[1]胡欢欢,郑静,李冬梅,等.卒中健康管理门诊的建立与实践效果研究[J].解放军护理杂志,2021,38(02):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
　HU Huanhuan,ZHENG Jing,LI Dongmei,et al.Establishment and Effect of Stroke Health Management Clinic[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):48.[doi:10.3969/j.issn.1008-9993.2021.02.013]
[2]台瑞,方芳,杨富,等.综合重症监护室患者过渡期护理方案的构建与应用[J].解放军护理杂志,2021,38(03):10.[doi:10.3969/j.issn.1008-9993.2021.03.003]
　TAI Rui,FANG Fang,YANG Fu,et al.Design and Implementation of a Transitional Care Plan in Comprehensive Intensive Care Unit[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):10.[doi:10.3969/j.issn.1008-9993.2021.03.003]
[3]朱金扬,李颖,汪凤兰.脑卒中患者心理痛苦对创伤后成长的影响:反刍性沉思的中介作用[J].解放军护理杂志,2021,38(03):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
　ZHU Jinyang,LI Ying,WANG Fenglan.Effect of Psychological Distress on Posttraumatic Growth among Stroke Patients: The Mediating Role of Rumination[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):18.[doi:10.3969/j.issn.1008-9993.2021.03.005]
[4]叶明明,张薇,邓锐,等.首发脑卒中患者照护者的家庭抗逆力水平及其影响因素[J].解放军护理杂志,2021,38(05):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
　YE Mingming,ZHANG Wei,DENG Rui,et al.Family Resilience in the Caregivers of First-stroke Patient and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):1.[doi:10.3969/j.issn.1008-9993.2021.05.001]
[5]裴菊红,豆欣蔓,贺莉.急诊科护士述情障碍和抑郁对职业倦怠影响的路径分析[J].解放军护理杂志,2021,38(05):25.[doi:10.3969/j.issn.1008-9993.2021.05.007]
　PEI Juhong,DOU Xinman,HE Li.Path Analysis of Alexithymia and Depression on Job Burnout of Emergency Nurses[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):25.[doi:10.3969/j.issn.1008-9993.2021.05.007]
[6]郭璐瑶,邢伟,王瑞莹,等.高龄产妇产后住院期间疲乏现状及其影响因素[J].解放军护理杂志,2021,38(05):48.[doi:10.3969/j.issn.1008-9993.2021.05.013]
　GUO Luyao,XING Wei,WANG Ruiying,et al.Status of Postpartum Fatigue in Women of Advanced Maternal Age and Its Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):48.[doi:10.3969/j.issn.1008-9993.2021.05.013]
[7]周美玲,张荀芳,何炼英,等.卒中后患者神经源性膀胱管理的最佳证据总结[J].解放军护理杂志,2021,38(05):67.[doi:10.3969/j.issn.1008-9993.2021.05.018]
　ZHOU Meiling,ZHANG Xunfang,HE Lianying,et al.Management of Neurogenic Bladder in Patients after Stroke: A Summary of the Evidence[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):67.[doi:10.3969/j.issn.1008-9993.2021.05.018]
[8]张杰兰,赖先婷,余兆兰,等.恐惧疾病进展和抑郁在血液透析患者症状负担与生活质量中的链式中介作用[J].解放军护理杂志,2021,38(09):29.[doi:10.3969/j.issn.1008-9993.2021.09.007]
　ZHANG Jielan,LAI Xianting,YU Zhaolan,et al.Chain Mediating Effect of Fear of Disease Progression and Depression between Symptom Burden and Quality of Life among Hemodialysis Patients[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):29.[doi:10.3969/j.issn.1008-9993.2021.09.007]
[9]于晓丽,李晓凤,王金宁,等.多视角下老年脑卒中患者居家健康管理影响因素的质性研究[J].解放军护理杂志,2021,38(10):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
　YU Xiaoli,LI Xiaofeng,WANG Jinning,et al.Influencing Factors of Home Health Management of Elders with Stroke from Multiple Perspectives:A Qualitative Study[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):12.[doi:10.3969/j.issn.1008-9993.2021.10.004]
[10]郑静,胡欢欢,李冬梅.胸腔镜肺叶切除术后并发急性大血管闭塞性缺血性脑卒中患者的观察与护理[J].解放军护理杂志,2021,38(10):77.[doi:10.3969/j.issn.1008-9993.2021.10.020]
　ZHENG Jing,HU Huanhuan,LI Dongmei.Observation and Nursing Care of Patients with Acute Large Vessel Occlusive Ischemic Stroke after Thoracoscopic Lobectomy[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):77.[doi:10.3969/j.issn.1008-9993.2021.10.020]
[11]赵力慧,孙秋雪,郭玉成,等.脑卒中患者领悟社会支持与抑郁间的中介效应及心理弹性的调节效应[J].解放军护理杂志,2021,38(09):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
　ZHAO Lihui,SUN Qiuxue,GUO Yucheng,et al.Mediating Effect between Perceived Social Support and Depression among Stroke Patients and the Moderating Effect of Resilience[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):6.[doi:10.3969/j.issn.1008-9993.2021.09.002]
[12]相丹丹,刘志薇,张振香,等.脑卒中患者夫妻二元抑郁的潜在剖面分析及相关因素[J].解放军护理杂志,2023,40(03):49.[doi:10.3969/j.issn.2097-1826.2023.03.012]
　XIANG Dandan,LIU Zhiwei,ZHANG Zhenxiang,et al.Latent Profile Analysis of Dyadic Depression among Stroke Patients and their Spouses and Its Related Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2023,40(12):49.[doi:10.3969/j.issn.2097-1826.2023.03.012]
[13]刘志薇,张振香,梅永霞,等.脑卒中患者配偶照顾者抑郁症状潜在类别分析及影响因素[J].解放军护理杂志,2023,40(04):56.[doi:10.3969/j.issn.2097-1826.2023.04.014]
　LIU Zhiwei,ZHANG Zhenxiang,MEI Yongxia,et al.Latent Class Analysis of Depressive Symptoms in Spouse Caregivers of Stroke Patients and the Influencing Factors[J].Nursing Journal Of Chinese People’s Laberation Army,2023,40(12):56.[doi:10.3969/j.issn.2097-1826.2023.04.014]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-23 【 修回日期 】 2021-10-28
【 基金项目 】 国家自然科学基金资助项目(72004205); 中国博士后基金面上项目(2019M652589); 河南省高等学校重点科研项目(21A320068)
【 作者简介 】 刘志薇,硕士在读,从事慢性病研究
【 通信作者 】 梅永霞,电话:0371-86565003
更新日期/Last Update: 2021-12-20