感知控制对脑卒中患者抑郁、健康相关生命质量的影响

The effect of perceived control on depression and health-related quality of life in patients with stroke

目的 了解脑卒中患者感知控制、健康相关生命质量现状,并探讨感知控制对脑卒中患者抑郁、健康相关生命质量的影响.方法 采用便利抽样的方法抽取264例脑卒中患者进行感知控制问卷、汉密尔顿抑郁量表、简明健康状况调查表第2版调查.结果 脑卒中患者感知控制总分为(18.21±2.74)分,健康相关生命质量总分为(46.62±11.56)分;脑卒中患者感知控制与抑郁呈负相关(r=-0.32,P＜0.05)与健康相关生命质量中躯体健康总评呈弱正相关(r=0.05,P＜0.05),与健康相关生命质量中心理健康总评呈正相关(r=0.29,P＜0.05),抑郁与健康相关生命质量中躯体健康总评、心理健康总评呈负相关(r=-0.26、-0.28,均P＜0.05).结论 医务人员应通过各种途径和方法,提高脑卒中患者的感知控制水平,进而降低抑郁情绪,提高患者健康相关生命质量.

Objective To understand the status of stroke patients' perceived control and healthrelated quality of life,and to analyze the effect of perceived control on stroke patients' depression and health-related quality of life.Methods By convenience sampling,264 stroke patients were chosen to complete the questionnaire survey,Perceived Control Questionnaire,Hamilton Depression Scale and ShortForm Health Survey Scale-2.Results The score of patient's perceived control and health-related quality of life were (18.21±2.74),(46.62±11.56) points respectively.The perceived control had a negative correlation with the depression (r=-0.32,P ＜ 0.05),had a weak positive correlation with the body health (r=0.05,P ＜0.05),and had a positive correlation with the mental health of health-related quality of life (r=0.29,P ＜0.05),depression was negatively correlated with health-related quality of life of the body health,mental health (r=-0.26,-0.28,P ＜ 0.05).Conclusions Medical personal should improve the level of stroke patients' perceived control through various methods,to reduce depression and improve health related quality of life.