新发脑卒中溶栓患者家庭功能及健康行为对患者生活质量的影响  

Effects of Family Function and Health Behaviors on Quality of Life of Patients with New Onset Stroke undergoing Thrombolysis

作　　者：王建玲[1] 苏琳琳[1] 黄贞[1] WANG Jianling;SU Linlin;HUANG Zhen(Nursing Department of the First Affiliated Hospital of Xinxiang Medical College,Henan Province,Xinxiang 453100)

机构地区：[1]新乡医学院第一附属医院护理部,新乡453100

出　　处：《临床护理杂志》2021年第3期12-16,共5页Journal of Clinical Nursing

基　　金：河南省医学科技攻关计划项目(20170217)。

摘　　要：目的探讨新发脑卒中溶栓患者家庭功能及健康行为对患者生活质量的影响。方法选择2020年1月-9月我院124例新发脑卒中行溶栓治疗的患者作为研究对象,采用简明健康测量量表(SF-36)评价患者生活质量,并根据SF-36总分分为高生活质量组(SF-36总分>117分)和低生活质量组(SF-36总分≤117分),收集患者基本资料及实验室指标。采用家庭功能评定量表(FAD)评价患者的家庭功能,采用脑卒中健康行为量表评价健康行为。采用多因素Logistic回归分析影响患者生活质量的因素,采用Pearson线性相关性分析家庭功能、健康行为与生活质量的相关性。结果高生活质量组患者年龄、入院NIHSS评分、发病到溶栓时间、糖尿病及吸烟史比例均低于低生活质量组(P<0.05)。受教育年限高于低生活质量组(P<0.05)。高生活质量组角色、情感反应、情感介入、行为控制及总分均低于低生活质量组(P<0.05)。高生活质量组患者运动、服药、烟酒及总分均高于低生活质量组(P<0.05)。多因素Logistic回归分析结果显示,糖尿病、入院NIHSS评分高、发病到溶栓时间长、FAD总分高、健康行为总分低是影响脑卒中患者溶栓后生活质量的危险因素(P<0.05)。Pearson相关性分析结果显示,家庭功能中的角色、情感反应、情感介入及行为控制与生活质量呈负相关(P<0.05);而健康行为中的运动、服药及烟酒与生活质量呈正相关(P<0.05)。结论新发脑卒中溶栓患者生活质量受多种因素影响,良好的家庭支持及健康行为是患者高生活质量的有效保障,且家庭功能与健康行为是可控因素,在临床实际中可给予相应的干预措施。Objective To explore the effects of family function and health behaviors on the quality of life of patients with new onset stroke undergoing thrombolysis.Methods A total of 124 patients who received thrombolytic therapy for new onset stroke from January 2020 to September 2020 were selected as the research subjects.The short form health scale(SF-36)was used to evaluate the quality of life of patients and divided into the high quality of life group(SF-36 total score>117)and low quality of life group(SF-36 total score≤117)according to the total SF-36 score.The basic data and laboratory indicators were collected.Family function was assessed using the Family Function Rating Scale(FAD)and healthy behavior was assessed using the Stroke Scale for Healthy Behavior.Multivariate logistic regression was used to analyze the factors affecting the quality of life and Pearson linear correlation was used to analyze the correlation between family function,healthy behavior and quality of life.Results The patients in the high quality of life group had lower age,admission NIHSS score,onset to thrombolysis time,diabetes mellitus and smoking history ratio than those in the low quality of life group(P<0.05),and higher education duration than those in the low quality of life group(P<0.05).The patients in the high quality of life group had lower scores in role,emotional response,emotional intervention,behavior control,and total scores than those in the low quality of life group(P<0.05).The patients in the high quality of life group had higher total scores in exercise,medication,tobacco and alcohol as well as in the low quality of life group(P<0.05).The results of unconditional Logistic regression showed that diabetes,high NIHSS score on admission,long time from onset to thrombolysis,high total FAD score and low total healthy behavior score were the risk factors affecting the quality of life of patients with stroke after thrombolysis(P<0.05).Pearson correlation analysis showed that role,emotional response,emotional intervention and behav

关 键 词：脑卒中 血栓溶解疗法 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R453.9[医药卫生—临床医学]