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目的了解青年脑卒中患者生活质量及其影响因素,为制定干预措施提供依据。方法以发病年龄在18～45岁的符合诊断标准的急性脑卒中患者为研究对象,通过电话随访或面对面问询方式,利用世界卫生组织生活质量评定量表简表(WHOQOL-BREF)中文版量表对其生活质量进行调查,并分析影响因素。结果共调查病例42例,生理领域得分为(11.51±2.85)分,心理领域得分为(12.05±3.30)分,社会领域得分为(12.00±2.89)分,环境领域得分为(12.11±2.65)分,除环境领域外,其他3个领域得分均明显低于常模,差异均有统计学意义(P<0.01)。影响得分的因素有是否参加康复训练、患病年限、自我健康评价以及生活能否自理。结论青年脑卒中患者的生活质量较差,应针对影响因素制定相应的应对措施。
Objective To understand the quality of life and its influencing factors in young stroke patients and provide basis for making interventions. Methods Acute stroke patients aged from 18 to 45 years who met the diagnostic criteria were enrolled in this study. The WHOQOL-BREF Chinese version was used by telephone follow-up or face-to-face interview. Table of their quality of life survey, and analyze the influencing factors. Results A total of 42 cases were investigated, with a score of (11.51 ± 2.85) in the physiological field, a score of (12.05 ± 3.30) in the psychological field, a score of (12.00 ± 2.89) in the social field and a score of (12.11 ± 2.65) in the field of the environment , Except for the field of environment, the other three areas were significantly lower than the standard score, the differences were statistically significant (P <0.01). Factors that affect the score are whether to participate in rehabilitation training, the duration of illness, self-evaluation and life can take care of themselves. Conclusion The quality of life of young stroke patients is poor. Corresponding countermeasures should be formulated according to the influencing factors.