脑卒中患者生活质量的影响因素分析

An analysis of factors affecting quality of life in patients with stroke

目的分析脑卒中患者生活质量的影响因素。方法采取分层随机抽样方法获得脑卒中患者806例作为研究对象。生活质量的调查采用脑卒中患者生活质量量表。结果单因素分析显示受教育年数少、离婚或丧偶、非公费医疗、无业或农民、神经功能缺损程度评分重型的脑卒中患者生活质量相对较差;多因素分析表明文化程度、婚姻状况、临床神经功能缺损得分是影响患者生活质量的主要因素。结论重视中老年保健、完善社会保障体系,扩大教育覆盖面,同时提高医疗保健水平,较早发现患者并及时治疗,减少中重型患者的比例,以提高患者的生活质量。

Objective To analyze the factors affecting quality of life (QOL) in patients with stroke. Methods Eight hundred and six stroke patients were recruited by using the stratification and random sampling method, and QOL questionnaire was applied. Results It was shown that QOL was worse comparatively in stroke patients with poorer education, divorce or lose of spouse, non-free medical service, unemployment, serious deficit of nervous function, while it was indicated by the results of multiple factor analysis that QOL was influenced mainly by such factors as education background, marriage and neurological function. Conclusion In order to improve QOL of patients, we should pay more attention to the health of elders, social security system, education and medical technology.