家庭支持对缺血性脑卒中预后的影响研究

Study on family support influencing prognosis of ischemic stroke

目的了解家庭支持对缺血性脑卒中预后的影响。为采取有效的预防控制措施,改善患者的预后提供重要依据。方法通过对2001年7月在该校两所教学医院住院的急性缺血性脑卒中患者319例的住院病历进行收集,通过自制的调查表进行整理及统计分析。结果在家中发病的患者占89.30%,是主要的发病地点;不同性别的缺血性脑卒中患者的发病年龄差异有极显著性(P<0.01);有73.80%的患者在起病后超过24 h方能到医院治疗,只有26.20%的患者在起病24 h内到医院获得专科监护及治疗,起病6 h入院的患者其预后较好,两者差异有显著性(P<0.05);吸烟者预后较不吸烟者差(P<0.05);住院的时间较长,家庭经济越好,家属越重视,患者越易康复;家庭护理(包括生理护理、心理护理、饮食及生活方式)对患者预后的生活质量有极其重要的影响。结论缺血性脑卒中的预后与患者发病后的及时就诊、生活方式及经济状况密切相关。

Objective: To understand the family support influencing prognosis of ischemic stroke so as to adopt effective prevention and control measures,To provide evidences for improving prognosis of these patients. Methods: Medical record data of 319 inpatients suffered from two teaching hospital between July 2001 and July 2003, We sorted out all data of investigation and analysized it. Results: Those who had onset at home, main site of ischemic stroke, accounted for 89.30%; Age in the onset of ischemic stroke had significant difference in two genders (P <0.01); 73.80% of patients who consulted a doctor in more than 24 hours after occurrence of the first sign, While only 26.20% percent of patients within 24 hours and received professional care and treatment; The prognosis of those patients hospitalized within 6 hours was much better, the difference was significant (P <0.05); The pronosis of non-smokers was better than the smokers (P <0.05); More duration of hospitalization,better family economic condition, and the better health; Family nurse (physiological nurse, psychological nurse, diet and lifestyle) has important influencing for patients,living quality. Conclusion: This survey shows that the timely see a doctor, lifestyle and economic condition has a direct bearing on the prognosis of ischemic stroke.