脑卒中后偏瘫患者生活质量调查及影响因素、护理对策分析  

Investigation of quality of life of hemiplegic patients after stroke and analysis of influencing factors and nursing countermeasures

作　　者：朱静娴 贺洋 吴俊波 ZHU Jingxian;HE Yang;WU Junbo(Department of Otolaryngology,Pingxiang NO.2 People's Hospital,Jiangxi Province,Pingxiang 337000,China;Department of Medical Insurance,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China;Department of Neurosurgery,Pingxiang NO.2 People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市第二人民医院眼耳鼻喉科,江西萍乡337000 [2]江西省萍乡市人民医院医保科,江西萍乡337000 [3]江西省萍乡市第二人民医院神经外科,江西萍乡337000

出　　处：《中国当代医药》2025年第3期124-127,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212091)。

摘　　要：目的分析脑卒中后偏瘫患者生活质量的影响因素与护理对策。方法选取2021年10月至2023年10月江西省萍乡市第二人民医院收治的98例脑卒中后偏瘫患者作为研究对象,以脑卒中专用生活质量量表(SS-QOL)评估其生活质量,另收集患者的年龄、性别等资料,分析影响其生活质量的有关因素。结果98例脑卒中后偏瘫患者,其SS-QOL评分为(134.89±10.57)分;单因素分析显示,婚姻状况、文化水平与脑卒中后偏瘫患者的生活质量无关,差异无统计学意义(P>0.05)。年龄、性别、烟酒史、基础疾病、抑郁、肩痛程度与脑卒中后偏瘫患者的生活质量有关,差异有统计学意义(P<0.05)。多元线性回归模型进行多因素分析结果显示:年龄>60岁(β=0.948,B=8.679,95%CI:4.579~19.638)、男性(β=0.884,B=7.835,95%CI:3.632~15.325)、有烟酒史(β=0.425,B=4.679,95%CI:2.035~7.269)、有基础疾病(β=0.499,B=5.032,95%CI:2.471~9.382)、抑郁(β=0.572,B=6.059,95%CI:3.235~12.488)、重度肩痛(β=0.508,B=5.488,95%CI:3.018~11.236)是脑卒中后偏瘫患者的生活质量独立影响因素(P<0.05)。结论年龄>60岁、男性、有烟酒史、有基础疾病、有抑郁、重度肩痛为脑卒中后偏瘫患者的生活质量独立影响因素。Objective To analyze the influencing factors and nursing countermeasures on the quality of life of hemiplegic patients after stroke.Methods Ninety-eight post-stroke hemiplegic patients admitted to Pingxiang NO.2 People's Hospital,Jiangxi Province from October 2021 to October 2023 were selected to assess their quality of life with the stroke-specific quality of life scale(SS-QOL),in addition,the patients'age,gender and other data were collected to analyze the relevant factors affecting their quality of life.Results The SS-QOL scores of 98 post-stroke hemiplegic patients were(134.89±10.57)points.Univariate analysis showed that marital status,educational level,and the quality of life of post-stroke hemiplegic patients were not related(P>0.05).Age,gender,smoking and alcohol history,underlying diseases,depression,and degree of shoulder pain were related to the quality of life of post-stroke hemiplegic patients(P<0.05).The results of multiple linear regression analysis showed that age>60 years old(β=0.948,B=8.679,95%CI:4.579-19.638),male(β=0.88,B=7.835,95%CI:3.632-15.325),history of smoking and drinking(β=0.425,B=4.679,95%CI:2.035-7.269),underlying diseases(β=0.499,B=5.032,95%CI:2.471-9.382),depression(β=0.572,B=6.059,95%CI:3.235-12.488)and severe shoulder pain(β=0.508,B=5.488,95%CI:3.018-11.236)were independent factors affecting the quality of life of post-stroke hemiplegic patients(P<0.05).Conclusion Age>60 years,male,history of smoking and alcohol,underlying disease,depression,and severe shoulder pain were independent influences on the quality of life of hemiplegic patients after stroke.

关 键 词：脑卒中 偏瘫 生活质量 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]