摘要目的 分析急性脑梗死后患者情绪-社交孤独(包括情绪孤立、社交孤立、情绪孤独和社交孤独)现状及其相关因素. 方法 本研究纳入2017年1月至10月在五所三级甲等医院神经内科住院的急性脑梗死后患者122例进行问卷调查.调查工具包括:患者一般资料问卷和情绪-社交孤独问卷. 结果 在122例急性脑梗死后患者中,情绪孤立、社交孤立、情绪孤独、社交孤独患者分别为48例(39.3％)、60例(49.2％)、40例(32.8％)和36例(29.5％).情绪孤立、社交孤立、情绪孤独、社交孤独四项维度的得分分别为(8.3±5.2)分、(8.6±5.1)分、(7.5±6.1)分和(7.4±5.5)分.患者在情绪-社交孤独各维度得分与其文化水平、家庭月收入、职业状况和发病前状态有关,与性别、婚姻状况和既往卒中史无关. 结论 急性脑梗死后患者情绪-社交孤独流行率较高,临床工作中应予以重点关注,尤其是应关注文化水平为高中以上、家庭月收入≥5 000元的离退休患者.

abstractsObjective To explore the status of emotional-social loneliness including emotional isolation,social isolation,emotional and social loneliness in patients with acute cerebral infraction,and to analyze the related factors.Methods A total of 122 patients with acute cerebral infraction admitted to the neurology department of 5 third-grade class-A hospitals from Jan.2017 to Oct.2017 were enrolled.Data was collected by self-reported questionnaires including patients' general data and the emotional-social loneliness questionnaire data.Results Among 122 patients with acute cerebral infraction,emotional isolation,social isolation,emotional loneliness and social loneliness were found in 48 cases(39.3％),60 cases(49.2％),40 cases(32.8％)and 36 cases(29.5％),respectively.The total average score for emotional isolation,social isolation,emotional loneliness and social loneliness were 8.3 ± 5.2,8.6 ± 5.1,7.5 ± 6.1,and 7.4 ± 5.5,respectively.The scores for emotional-social loneliness were associated with education level,monthly family income,occupations and the emotion state before disease,and were not associated with gender,marriage status and stroke history.Conclusions The prevalence of emotional-social loneliness is high in patients with acute cerebral infraction.Especially careful attention should be paid to patients with higher education level and retired with monthly family income ≥5 000 RMB.