论文部分内容阅读
目的:研究临床痊愈的脑卒中(IS)患者生命质量及影响因素。方法:筛选450例中国汉族脑卒中患者为研究对象,收集人口学资料,汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评定临床症状严重程度,应用简明健康状况调查问卷(SF-36)和社会支持量表(SSS)评定生命质量及社会支持度。经治疗后定期随访,临床痊愈的60例IS患者HAMD、HAMA分值均小于7分,再测定其SF-36,采用艾森克人格问卷(EPQ)测量其神经质(N)、内外倾性(E)精神质(P)3个维度。对照组为中国普通人群的生命质量常模。结果:1.临床痊愈的患者生命质量中除生理功能维度(PF)外[(89.99±14.90)分(,87.00±16.73)分,t=1.044,P>0.05],其余7个维度职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、精力(VT)、社会功能(SF)情感职能(RE)、精神健康(MH)均比治疗前明显改善,有显著性差异(P<0.01);与对照组生命质量比较,除PF外([89.99±1490)分(,88.02±15.73)分,t=1.266,P>0.05],其它7个维度均低于对照组,差异显著(P<0.01或P<0.05)。2.生命质量影响因素采用多元逐步回归分析:神经质型、内外倾性人格、病期症状严重程度、疾病反复发作以及对支持的利用度对生命质量中的PF、RP、BP、GH、VT、SF、RE、MH7个维度均有影响(P<0.05)。结论:脑卒中患者经治疗后,生命质量明显改善,但仍低于一般人群;临床痊愈的脑卒中患者的人格特征、病期焦虑程度、经济状况、脑卒中反复、社会支持均影响其生理心理及社会功能。
Objective: To study the quality of life and the influencing factors of clinically cured stroke patients. Methods: A total of 450 Han Chinese patients with stroke were enrolled in this study. The demographic data, Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to assess the severity of clinical symptoms. The Concise Health Questionnaire (SF-36 ) And social support scale (SSS) to assess the quality of life and social support. HAMD and HAMA score of 60 IS patients clinically recovered after treatment were all less than 7, SF-36 was measured again, and their neuroticism (N), exotropia E) Psychic (P) 3 dimensions. The control group is the norm of quality of life for the Chinese general population. The clinical quality of life in patients with clinical recovery in addition to the physiological function dimension (PF) [(89.99 ± 14.90) points (87.00 ± 16.73) points, t = 1.044, P> 0.05], the remaining seven dimensions of function ), Physical pain (BP), general health status (GH), energy (VT), social function (SF) emotional function (RE) and mental health (MH) were significantly improved compared with those before treatment (P < 0.01). Compared with the control group, the other seven dimensions were significantly lower than those of the control group except PF (89.99 ± 1490, 88.02 ± 15.73, t = 1.266, P 0.05) P <0.01 or P <0.05). The influencing factors of quality of life were analyzed by multivariate stepwise regression analysis: neuroticism, introversive and extroverted personality, severity of symptoms, recurrent illness and the utilization of support for the quality of life of PF, RP, BP, GH, VT, SF, RE, MH7 dimensions have an impact (P <0.05). Conclusion: After treatment, the quality of life of stroke patients was significantly improved, but still lower than that of the general population. The personality traits, severity of anxiety, economic status, repeated stroke, and social support of clinically recovered stroke patients affected their physical and psychological factors And social functions.