经皮颅内动脉取栓术患者出院后生活质量影响因素及护理对策  

Influencing factors and nursing countermeasures of quality of life in patients with percutaneous intracranial artery thrombectomy after discharge

作　　者：谢婷 XIE Ting(Nanchong Hospital of Beijing Anzhen Hospital Affiliated to CMU,Nanchong 637000,China)

机构地区：[1]首都医科大学附属北京安贞医院南充医院,四川南充637000

出　　处：《临床医学研究与实践》2025年第12期38-41,共4页Clinical Research and Practice

摘　　要：目的探究经皮颅内动脉取栓术患者出院后生活质量的影响因素及护理对策。方法选取2022年1月至2023年12月于本院接受经皮颅内动脉取栓术治疗的134例急性脑梗死患者为研究对象,依据出院后的生活质量综合评定问卷(GQOLI-74)评分将其分为生活质量较差组和生活质量良好组,收集两组的性别、年龄、身体质量指数(BMI)、入院到血管再通时间、基础疾病、家庭人均月收入、闭塞部位、取栓次数、术前美国国立卫生研究院卒中量表(NIHSS)评分、术后24 h NIHSS评分、心理弹性量表(CD-RISC)评分、社会支持评定量表(SSRS)评分。采用多因素Logistic回归分析探究患者出院后生活质量的影响因素,并制定护理对策。结果134例患者出院后1个月的GQOLI-74评分为(64.58±7.68)分,其中42例(31.34%)患者纳入生活质量较差组,92例(68.66%)患者归为生活质量良好组。多因素Logistic回归分析结果显示,年龄、糖尿病、家庭人均月收入、闭塞部位、取栓次数、术前NIHSS评分、术后24 h NIHSS评分、CD-RISC评分及SSRS评分均为患者出院后生活质量的影响因素(P<0.05)。结论行经皮颅内动脉取栓术的急性脑梗死患者出院后生活质量普遍处于中等水平,影响生活质量的因素包括年龄、糖尿病、家庭人均月收入、闭塞部位、取栓次数及NIHSS、CD-RISC和SSRS评分。Objective To explore the influencing factors and nursing countermeasures of quality of life in patients with percutaneous intracranial artery thrombectomy after discharge.Methods A total of 134 patients with acute cerebral infarction who underwent percutaneous intracranial artery thrombectomy in our hospital from January 2022 to December 2023 were selected as the research objects.According to the Generic Quality of Life Inventory-74(GQOLI-74)score after discharge,the patients were divided into poor quality of life group and good quality of life group.The gender,age,body mass index(BMI),time from admission to vascular recanalization,basic diseases,family monthly income per capita,occlusion site,number of thrombectomy,preoperative National Institute of Health Stroke Scale(NIHSS)score,postoperative 24 h NIHSS score,Connor-Davidson Resilience Scale(CD-RISC)score and Social Support Rating Scale(SSRS)score of the two groups were collected.Multivariate Logistic regression analysis was used to explore the factors affecting the quality of life of patients after discharge,and nursing countermeasures were formulated.Results The GQOLI-74 score of 134 patients at 1 month after discharge was(64.58±7.68)points.Among them,42 patients(31.34%)were included in the poor quality of life group,and 92 patients(68.66%)were classified as the good quality of life group.Multivariate Logistic regression analysis results showed that age,diabetes mellitus,family monthly income per capita,occlusion site,number of thrombectomy,preoperative NIHSS score,postoperative 24 h NIHSS score,CD-RISC score and SSRS score were the influencing factors of quality of life in patients after discharge(P<0.05).Conclusion The quality of life of patients with acute cerebral infarction undergoing percutaneous intracranial artery thrombectomy after discharge is generally at a medium level,and the influencing factors of quality of life include age,diabetes mellitus,family monthly income per capita,occlusion site,number of thrombectomy,NIHSS,CD-RISC and SSRS scores.

关 键 词：急性脑梗死 经皮颅内动脉取栓术 生活质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学]