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目的:评价脑卒中恢复期患者的生存质量。方法:采用健康调查问卷(中文版SF-36)对脑卒中患者的生存质量进行评价研究,运用多变量方差分析的方法进行统计分析。结果:脑卒中患者总体生命质量普遍下降,特别是躯体功能(生理职能、生理机能)的受损程度最大。脑梗塞和脑出血两组均向量间有显著性差异(P=0.019),脑梗塞和脑出血两组间生存质量总差异有统计学意义。脑梗塞和脑出血在生理功能(PF)维度有显著性差异(P=0.033),情感职能(RE)维度有显著性差异(P=0.020)。结果:脑梗塞恢复期生存质量在生理机能上较脑出血患者好,脑出血恢复期生存质量在情感职能上较脑梗塞好。结论:通过对脑卒中恢复期患者生存质量的评价,说明卒中后对患者的生存质量有影响,且对不同方面的影响程度也不相同,提示在对脑卒中恢复期患者进行干预治疗时应有不同的侧重点。
PURPOSE: To evaluate the quality of life in patients with convalescent stroke. Methods: The health questionnaire (Chinese version of SF-36) was used to evaluate the quality of life of patients with stroke. Multivariate analysis of variance (ANOVA) was used for statistical analysis. Results: The overall quality of life of stroke patients generally declined, especially in the body function (physiological function, physiological function) the greatest degree of damage. Cerebral infarction and cerebral hemorrhage were significantly different between the two groups of vector (P = 0.019), cerebral infarction and cerebral hemorrhage between the two groups were statistically significant differences in quality of life. Cerebral infarction and intracerebral hemorrhage had significant differences in dimensions of physical function (P = 0.033) and dimensions of emotional function (RE) (P = 0.020). Results: The quality of life in convalescent cerebral infarction was better than that in cerebral hemorrhage in physiological function. The quality of life in convalescence of cerebral hemorrhage was better than cerebral infarction in emotional function. Conclusion: The evaluation of quality of life in patients with convalescent stroke after stroke shows that the impact of stroke on the quality of life of patients, and the extent of impact on different aspects are not the same, suggesting that in the recovery of patients with stroke should have intervention Different emphasis.