中风发病后6～9月的生命质量  

Quality of life among 6～9 months survivors of stroke

作　　者：张骏[1] 谷波[2] 罗德儒[2] 何庭尉[3] 刘朝杰[3] 袁鸿江[4] 

机构地区：[1]华西医科大学附一院特需医疗部 [2]华西医科大学附一院神经内科 [3]华西医科大学社会医学教研室 [4]华西医科大学老年医疗保健与培训中心,610041

出　　处：《中国行为医学科学》2001年第6期539-541,共3页Chinese Journal of Behavioral Medical Science

基　　金：卫生部科学研究基金 (B1 0 6 9);美国纽约中华医学基金会 (CMB)老年学项目资金的资助

摘　　要：目的　比较发病后 6～ 9月的中风患者与正常对照的健康差异 ,以明确针对中风患者的社区卫生服务应着手解决的健康问题。方法　对 1 50例中风后 6～ 9月的患者及按照性别、年龄、居住环境进行 1 :1配对的正常对照 ,采用SF 3 6进行健康自评 ,比较其不同领域的健康状况。结果　患者生命质量在躯体功能、生理性角色功能受限、社会功能、活力 4个领域(P <0 .0 1 )随年龄的增加而降低。男性生命质量在总体健康 (P =0 .0 1 7)、躯体功能 (P =0 .0 1 5)、活力和精神健康 (P <0 .0 1 )等 4个领域好于女性。患者与对照比较 ,除了疼痛 (P =0 .2 89)领域外 ,患者生命质量的各个领域均差于对照 (P≤0 .0 0 1 )。结论　患者在发病后 6～ 9月时 ,除了存在严重的躯体功能障碍之外 ,还有严重的心理、社会功能障碍以及角色功能障碍。其中 ,精神健康和女性患者是工作重点。Objective The consequences of stroke are a major health concern. This study was conducted to compare the quality of life among 6～9 months survivors of stroke with that of general population.Methods Adopting 1:1 paired case control study of 6～9 months survivors of stroke with an aged and sex matched control population with respectively 150 cases. Applying SF 36 to evaluate their quality of life by self rating.Results Mean scores were lower for women in physical functioning, role limitations due to physical problems, social functional and vitality (all P<0.01); General health (P=0.017), physical functioning (P=0.015), vitality and mental health (P<0.01) decreased with aging. Case patients had lower mean scores than control group for all health dimensions in SF 36 quality of life (P<0.001) but bodily pain.Conclusion Quality of life seems to be rather bad for the majority of patients 6～9 months after stroke. Besides serious physical dysfunction, there are serious obstacles in mental health, social functioning and role limitations. So in Chinese community health services, it should be strengthened in mental health services and social functioning ones, especially for female cases.

关 键 词：中风 生命质量 精神健康 社区卫生服务 

分 类 号：R195.1[医药卫生—卫生统计学]