Luo Shangyu, Hong Yunjun, Wen Jun, Zhang Xiaobo
Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, Hunan, China.
Front Psychiatry. 2024 Sep 30;15:1430034. doi: 10.3389/fpsyt.2024.1430034. eCollection 2024.
Studies on post-stroke anxiety (PSA) following the lifting of COVID-19 restriction measures are currently lacking. We investigated the factors affecting PSA after full release of COVID-19 epidemic in China.
Patients with stroke admitted to the First People's Hospital of Changde City from March 2023 to September 2023 participated in a questionnaire survey comprising a general demographic questionnaire, the Generalized Anxiety Scale-7. Additionally, data on the National Institutes of Health Stroke Scale, modified Rankin Scale, C-reactive protein (CRP), thyroid-stimulating hormone (TSH), homocysteine, TOAST classification, and the stroke site were collected, and the correlations between these indices and the mental health conditions of the patients were evaluated.
Among 947 patients, the incidence of PSA was 14.57%.PSA was not linked to prior COVID-19 infection. This study found that Sleep duration (P=0.01), hyperlipidemia (P=0.01), migraine (P=0.02), and family history of stroke (P=0.01) were associated with PSA.
Our study found that the prevalence of PSA was 14.57%. In addition, sleep duration, hyperlipidemia, migraine and family history of stroke were independent risk factors for PSA following the lifting of COVID-19 restrictions.
目前缺乏关于新冠疫情防控措施解除后中风后焦虑（PSA）的研究。我们调查了中国新冠疫情全面放开后影响PSA的因素。
2023年3月至2023年9月在常德市第一人民医院住院的中风患者参与了一项问卷调查，该问卷包括一份一般人口统计学问卷、广泛性焦虑量表-7。此外，收集了美国国立卫生研究院卒中量表、改良Rankin量表、C反应蛋白（CRP）、促甲状腺激素（TSH）、同型半胱氨酸、TOAST分类以及中风部位的数据，并评估了这些指标与患者心理健康状况之间的相关性。
在947例患者中，PSA的发生率为14.57%。PSA与既往新冠病毒感染无关。本研究发现，睡眠时间（P=0.01）、高脂血症（P=0.01）、偏头痛（P=0.02）和中风家族史（P=0.01）与PSA有关。
我们的研究发现PSA的患病率为14.57%。此外，睡眠时间、高脂血症、偏头痛和中风家族史是新冠疫情防控措施解除后PSA的独立危险因素。
