Oh Chi Woong, Lee Sang Hyuk, Nam Taek Min, Jang Ji Hwan, Kim Young Zoon, Kim Kyu Hong, Kim Do-Hyung, Ko Nak Gyeong, Kim Seung Hwan
Department of Neurosurgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
Department of Neurology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon 51353, Korea.
J Clin Med. 2021 Sep 13;10(18):4122. doi: 10.3390/jcm10184122.
(1) Background: We aimed to evaluate the association between sociodemographic factors and mental health problems and the sequelae of stroke in South Korea by analyzing the annual Korea National Health and Nutrition Examination Surveys (KNHANES) conducted from 2016 to 2019. (2) Methods: Data were obtained from 32,379 participants who participated in the KNHANES (2016-2019). A total of 567 participants diagnosed with stroke were included in this study. Patients were divided into two groups based on the presence of sequelae: (a) stroke patients with sequelae ( = 227, 40.0%) and (b) stroke patients without sequelae ( = 340, 60.0%). (3) Results: Compared to stroke patients without sequelae, those with sequelae were significantly associated with sex (male, 61.2% vs. 47.6%, = 0.002), household income (lower half, 78.9% vs. 67.4%, = 0.005), owning a house (60.4% vs. 68.5%, = 0.048), marital status (unmarried, 7.05% vs. 1.76%, < 0.001), depression (13.2% vs. 7.35%, = 0.045), suicidal ideation (6.17% vs. 3.24%, = 0.010), and suicide attempts (2.64% vs. 0.88%, = 0.012). (4) Conclusions: Our study showed that poor sociodemographic factors and mental health problems were significantly associated with sequelae from stroke. Clinical physicians should therefore carefully screen for depression and suicidality in stroke patients with sequelae, especially in those with poor sociodemographic factors.
(1) 背景:我们旨在通过分析2016年至2019年开展的年度韩国国民健康与营养检查调查(KNHANES),评估韩国社会人口学因素与心理健康问题及中风后遗症之间的关联。(2) 方法:数据来自参与KNHANES(2016 - 2019年)的32379名参与者。本研究共纳入567名被诊断为中风的患者。根据是否存在后遗症将患者分为两组:(a) 有后遗症的中风患者(n = 227,40.0%)和(b) 无后遗症的中风患者(n = 340,60.0%)。(3) 结果:与无后遗症的中风患者相比,有后遗症的患者与性别(男性,61.2% 对 47.6%,P = 0.002)、家庭收入(下半部分,78.9% 对 67.4%,P = 0.005)、拥有住房情况(60.4% 对 68.5%,P = 0.048)、婚姻状况(未婚,7.05% 对 1.76%,P < 0.001)、抑郁(13.2% 对 7.35%,P = 0.045)、自杀意念(6.17% 对 3.24%,P = 0.010)和自杀未遂(2.64% 对 0.88%,P = 0.012)显著相关。(4) 结论:我们的研究表明,不良的社会人口学因素和心理健康问题与中风后遗症显著相关。因此,临床医生应仔细筛查有后遗症的中风患者,尤其是社会人口学因素较差的患者是否存在抑郁和自杀倾向。