脑卒中患者生活质量影响因素的纵向调查研究  

Longitudinal study on the quality of life and related factors in patients with apoplexy

作　　者：夏慧玲[1] 贺伟[1] 梁芳[1] 

机构地区：[1]新疆医科大学护理学院,乌鲁木齐830000

出　　处：《新疆医科大学学报》2013年第2期249-254,共6页Journal of Xinjiang Medical University

基　　金：新疆医科大学校级科研创新基金(2008HL01)

摘　　要：目的了解脑卒中患者生活质量的影响因素,为进一步实施干预以提高脑卒中患者的生活质量提供参考。方法使用现况研究法,应用脑卒中影响量表自评表(SIS)对164例脑卒中患者的生活质量进行卒中后2w和6个月2个时间段的纵向调查,采用多因素方差分析法分析脑卒中患者的生活质量状况及其影响因素。结果患病2w时,男性脑卒中患者生活质量总评分高于女性;6个月时,年龄<60岁、脑出血、自身态度积极、社会支持良好、家庭支持适当及有亲人照顾等因素为脑卒中患者6个月躯体功能评分的有利因素。患病2w时,男性患者躯体功能评分高于女性,无并发症的患者躯体功能评分较有并发症者高,有亲人照顾的躯体功能评分优于其他人照顾。6个月时,年龄≥60岁的患者记忆思维领域低于年龄<60岁的患者。2w时,利手在患病对侧患者的情绪情感领域评分高于利手同侧患者;6个月时,有并发症的患者为情绪情感领域评分的不利因素。在交流领域,男性、自身态度积极、有亲人照顾及社会支持良好为2w时的有利因素;6个月时,男性、年龄<60岁及自身态度积极则为有利因素;日常活动参与领域,2w时利手位于对侧及自身态度积极为有利因素;6个月时,年龄≥60岁、脑梗死患者、家庭支持不当及他人照顾者则为不利因素。结论在临床护理和治疗、家庭护理、社区护理工作中,应尽早对脑卒中患者生活质量的影响因素进行干预,并对患者的精神健康给予足够的重视。Obejtctive To assess the quality of life （QOL） in apoplexy patients, ideniify variables that could predict the quality of life after apoplexy and also to provide reasonable methods for improving their QOL. Methods A longitudinal study was conducted to collect the 164 apoplexy patientst date at two time points： 2 weeks and 6 months using Apoplexy Impact Scale （SIS）. Results Scores of quality of life with male apoplexy patients was higher than female at the time of 2 weeks; Age 〈60, cerebral hemorrhage, positive attitude, good social support, good family support and relatives to take care were favorable factors in physical function fileds at the time of 6 months. Scores of physical function of male patients was higher than female at 2 weeks, scores of er people to take care of. S uncomp cores of licated and relatives to take care were higher than complications and oth age ≥ 60 years was below than age %60 years in the memory thinking field. Scores of handedness illness with contralateral, emotional fields were higher than ipsilateral handed ness at 2 weeks, the complications was unfavorable months; In the field of communication, male, positive factors in the field of emotions and feelings at 6 attitude, good family care and good social support were favorable factors at 2 weeks; At 6 months, male, age %60 years old and positive attitude were favor able factors. In daily activities field, handedness with o factors at the time of 2 weeks; at 6 months, over the age PP of osite side and positive attitude were favorable 60, cerebral and caregivers of others were disadvantage factors. Conclusion Clinical should intervent factors of QOL in apoplexy as early as possible, and health.

关 键 词：脑卒中 生活质量 影响因素 

分 类 号：R473.2[医药卫生—护理学]