A Research On The Relationship Between The Multi-dimensional Of Social Supports Between The Simple Coping Styles In Patients Of Post-stroke Depression

Objective1.TO explore the general characteristics on post-stroke depression (PSD post-stroke depression) in patients.2.TO explore the relationship between depression,perceiving social support and coping styles with post-stroke depression in patients.3.TO explore the characteristics about perceiving social support and coping styles with post-stroke depression in patients.Materials and MethodsMaterials:to select the Convenience sampling method was used to neurology patients,out-patient treatment of 100 cases of the patients with PSD at a hospital of traditional medicine in HuBei province and a hospital of traditional Chinese and Western Medicine in WuHan.Investigation with General demographic characteristics of the questionnaire,epidemic Depression Scale(CES-D10) multi-dimensional perceived social support scale(PSSS) and Simple Coping Style Questionnaire(SCSQ)Methods:At first the screening on stroke in patients with the epidemic depression scale(CES-D10),scoring≥10 points,and requiring on the conscious patients,stable condition with illness, no cognitive impairment,physical complications and so on, exclusiving such as the past the history of those who having mental illness,functional disorder,endogenous depression or mental disorders caused by addictive substances were defined in patients with post-stroke depression(PSD) patients.Followed by one by one on the PSD in patients with PSSS,SCSQ investigation and the general demographic questionnaire,the principle of this study in the whole process by voluntary participation for patients,direct participation for professionals and training others joined in them,a clear purpose,knowing way to use the scales,unified language, face-to-face to put out questionnaires and the scales,filling out the questionnaires and scales in accordance with their actual feelings and reactions in anonymity form.Finally,the collection and collation of data,using the spss13.0 of statistical software to analyze in the mean,standard deviation,t-test,spearman and so on about the original datas.Results1.The effects on the general demographic characteristics to the level of depression in PSD with patients.After single-sample t-test showing that sex,marriage, frequency of illness,medical expenses,age,cultural and economic P＜0.05,statistically significant differences.The men in sex,the marriage in divorce or death,the medical expenses in their own expense,the disease in less than the numbers of 2 times,the age in greater than or equal to 60 years old,the degree of education in senior school and junior school and economic levels in less than the following or equal toï¿¥2,000 of the PSD in patients with depression in month were significantly higher than that. 2.The relevant research between the characteristics of the general population among the multi-dimensional perception of social support,the simple coping style.After the descriptive analysis Showing that patients with PSD scoring of perceived social support was(44.30±11.63) points, among with the scoring of family support was(16.32±4.266) points, the scoring of outside the home in support was(27.98±8.461) points.After single-sample t-test showing that age in less than or equal to 60 years old,the disease in less than the number of 2 times,the economical levels more thanï¿¥2,000 in monthly income, the medical expenses in public expenses or medical insurance in patients with PSD was significantly higher than the corresponding groups(P＜0.05);marriage married with PSD in patients perceiving the family social support was significantly higher than the corresponding groups(P＜0.05).After the descriptive analysis showing that the scoring of positive response styles in patients with PSD was(11.42±5.838) points,the scoring of negative response styles was(8.370±3.001) points.After single-sample t-test showing that male of in gender, less than the number of 2 times in disease,the medical expenses in public expenses or medical insurance in patients with PSD with active coping styles was significantly higher than the corresponding groups(P＜0.01);and female patients,the number in more or equal to 2 times,married life in divorce or death in patients with PSD with passive coping styles was significantly higher than the corresponding groups(P＜0.01).3.By spearman correlated analysis showing that PSD patients in depression between perceiving social support and family social support were significantly negatively correlated (r₁ =- 0.336(**),r₂ =- 0.786(**),P＜0.01),and within the home support is significantly related to PSD;outside the home support is no significantly correlation.PSD in patients with active coping styles were significantly negatively correlated(r =- 0.400(**), P＜0.01);and negative coping styles were significantly positively correlated(r = 0.289(**),P＜0.01).Perceiving Social Support and the positive response of copying styles was a significant positive correlation(r = 0.561(**),P＜0.01),and negative coping style was no significantly correlation(r =- 0.128,P = 0.203＞0.05).Conclusions1.These factors of gender,the educational degree,economic levels, marriage,frequency of illness,medical expenses,age affect on the level of depression in patients with stroke,and there is significantly difference.Nursing staffs in accordance with these effects with higher risk factor characteristics care on post-stroke depression with in patients.2.These factors about Ages,frequency of illness,medical expenses, marriage,economic levels are influencing factors about PSD in patients' perceived or understanded the impact of high and low in social support;gender,frequency of illness,medical expenses, marriage are influencing factors on inclining to take which kind of copying styles with PSD in patients.Nursing staffs should provide guidance to patients in different scenarios with a flexible way to deal with them.3.Between overall social support,family support and positive coping styles among post-stroke depression in patients on the degree of depression were negatively correlated,showing that most patients with PSD were got from home comfort and support;negative coping styles and level of depression in patients with PSD was a positive correlation;but outside the support of home and the level of patients with post-stroke depression were no significantly relationship.Come to a good social support,positive coping styles contribute to PSD in patients with depressive symptoms have been alleviated or cured,so these which can be integrated nursing care to adjust their way of life to respond to more actively with the treatment,care and rehabilitation training in order to improve their quality of life.