《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 919-921.

• 专题 • 上一篇    下一篇

脑卒中患者生存质量及其影响因素

曾艳红1a; 蔡亚平1a; 李莉1b   

  1. 1.南华大学a.公共卫生学院流行病学教研室;b.环境生物医学院护理系,湖南衡阳市 421001
  • 收稿日期:2008-03-31 出版日期:2008-10-01 发布日期:2008-10-01

Quality of Life and Influence Factors in Patients with Stroke

ZENG Yan-hong, CAI Ya-ping, LI Li   

  1. The Department of Epidemiology, School of Public Health of University of South China, Hengyang 421001, Hunan, China
  • Received:2008-03-31 Published:2008-10-01 Online:2008-10-01

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被引次数

40

摘要： 目的研究脑卒中患者的生存质量及其影响因素。方法应用健康调查简表(SF-36)于出院前和出院后6个月对脑卒中患者的生存质量进行测量并做问卷调查;分析生存质量状况并应用有序Logistic回归分析生存质量的影响因素。结果脑卒中患者生存质量明显降低,各维度平均得分38.18～67.57。出院6个月后,各维度平均得分均有一定增高,但仅躯体功能、躯体健康问题导致的角色受限、躯体疼痛、总体健康感和生命活力5个维度分的增高有显著性意义。影响脑卒中患者躯体和精神健康评分的共同因素有婚姻状况、经济状况、医疗保障、生活护理、心理障碍、康复治疗及生活能力状态,而年龄、病变性质及并发症与患者躯体健康评分显著相关,身边有无子女和失语则显著影响患者精神健康评分。结论早期、规范的运动、语言及心理等多方面的康复治疗、亲人的关爱及精心护理,有利于脑卒中患者生存质量的改善。

关键词: 脑卒中, 生存质量, 影响因素, 有序Logistic回归

Abstract: Objective To explore the quality of life(QOL) of stroke patients and the influence factors.Methods The QOL of stroke patients was measured with Shot Form 36 Health Survey Questionnaire(SF-36) and questionnaire survey before discharge and six months after discharge;the patients' state of life was analyzed with the ordinal Logistic regression method to find out influence factors.Results The QOL of the stroke patients decreased obviously with an average sphere score between 38.18～67.57.Sphere scores increased during the six months of post-discharge,but only those of physical functioning(PF),role limitations due to physical health(RP),bodily pain(BP),general health perceptions(GH) and vitality(VT) rose significantly.Some common factors that would affect physical and mental health of the patients included: marriage state,economic conditions,medical care assurance,health care,psychological obstacles,rehabilitation and viability.Besides,age,the features of pathological changes and the complication had significant effect on the physical health of the patients,while children and aphasia affected mental health.Conclusion Early and canonical rehabilitation physical care,language and psychological training and so on,as well as family caring and nursing all are contributive to improve the QOL of the stroke patients.

Key words: stroke, quality of life, influence factor, ordinal Logistic regression