恢复期老年脑梗塞患者生存质量及其影响因素分析  

Senile Patients of Cerebral Infarction in Convalescence: Analysis of the Quality of Life and the Correlative Factors

作　　者：李建生[1] 余学庆[1] 庆慧[2] 

机构地区：[1]河南中医学院老年医学研究所,河南450008 [2]河南省中医药研究院,河南450004

出　　处：《北京中医药大学学报》2004年第3期85-88,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：河南省高校创新人才基金项目 (No 2 0 0 0 10 )

摘　　要：目的　评价恢复期老年脑梗塞患者的生存质量 ,并对相关影响因素进行分析。方法　采用生存质量综合评定问卷 - 74 (GQOLI - 74 )对 135例老年脑梗塞患者恢复期的生存质量进行测定、评价。运用单因素和多元逐步回归等统计方法对相关影响因素进行分析。结果　老年脑梗塞患者恢复期的生存质量总分很低 (4 6 78± 8 95 )分 ;性别、年龄、婚姻状况、体重指数等因素对恢复期老年脑梗塞患者生存质量的影响无统计意义 ;病程、伴发疾病和既往疾病、神经功能状况、Barthel指数、空腹血糖、中医证候、自我健康评价、文化程度、生活方式、经济收入、职业、居住环境等医学和社会因素是影响患者生存质量的主要因素。结论　恢复期老年脑梗塞患者的生存质量较低 ,躯体功能的受损程度最大。社会因素、医学因素和中医证候均对生存质量有显著影响 ;严格控制血糖和血压 ,加强心理护理 ,提供家庭温暖和社会支持有助于改善恢复期老年脑梗塞患者生存质量。Objective To evaluate the quality of life of senile patients of cerebral infarction in convalescence and analyze the correlative factors. Methods GQOLI-74 was used to measure and evaluate the quality of life of 135 senile patients of cerebral infarction in convalescence, and the statistical method of one-factor and multiple-element stepwise regression was used to analyze the correlative factors. Results It was found that the total score of the quality of life was very low (46.78±8.95 scores) in senile patients of cerebral infarction in convalescence. The influence of the factors of sex, age, marital status and body weight index on the quality of life of senile patients of cerebral infarction in convalescence showed no statistical significance. The major medical and social factors influencing the quality of life of the patients were found to be the duration of illness, concomitant diseases and anamnesis, nervous functional status, Barthel index, fasting blood-glucose, TCM syndromes, self-evaluation of health status, education status, life style, economic income, occupation, and living environment. Conclusion Senile patients of cerebral infarction in convalescence has a rather low quality of life, and the functions of their body is seriously damaged; social factors, medical factors and TCM syndromes have obvious influence on their quality of life. The quality of life of senile patients of cerebral infarction in convalescence can be improved by strictly controlling blood sugar and blood pressure, strengthening psychological nursing, and providing family warmth and social support.

关 键 词：脑梗塞 恢复期 生存质量 分析 

分 类 号：R743.33[医药卫生—神经病学与精神病学]