脑卒中患者的生活质量与应对方式以及社会支持的相关性研究

Association Study of the Quality of Life,Coping Style and Social Support in Patients with Stroke

目的:探讨脑卒中患者的生活质量、应对方式及其社会支持状况。方法:采用生活质量综合评定问卷(GQOLI)、医学应对问卷(MCMQ)及社会支持评定量表(SSAS)对60例脑卒中患者(观察组)及60名健康自愿者(对照组)进行测评。结果:①观察组生活质量总分及躯体功能、心理功能、社会功能3个维度评分均显著低于对照组(P<0.01);②观察组面对分量表评分显著低于对照组,而屈服分量表评分则显著高于对照组(P<0.01);③观察组社会支持总分及客观支持、主观支持、支持利用度评分均显著低于对照组(P<0.01);④脑卒中患者的生活质量总分及躯体功能、心理功能、社会功能3个维度评分与面对分量表评分及社会支持总分、客观支持、主观支持、支持利用度3个维度评分均呈显著性正相关,而与屈服分量表评分则呈显著性负相关(P<0.05或P<0.01)。结论:脑卒中患者的生活质量偏低,与应对方式及社会支持有关。

Objective： To explore the quality of life, coping style and social support in patients with stroke. Methods： 60 patients with stroke and 60 normal controls were tested with the Generic Quality of Life Inventory （GQOLI）, Medical Coping Questionnaire （MCMQ） and Social Support Assessment Scale （SSAS）. Results： ①The total score of GQOLI and physical function, mental function and social function factor scores in the observed group were significantly lower than those in the control group （P〈0.01）; ②The score of face to face in the observed group was significantly lower than that in the control group （P〈0.01）, while the score of submissiveness in the observed group was significantly higher than that in the control group （P〈0.01）; ③The total score of SSAS, objective support, subjective support and utilization degree of social support scores in the observed group were significantly lower than that in the control group （P〈0.01）. ④The total score of GQOLI and physical function, mental function and social function factor scores were significantly positively correlated with the score of face to face of MCMQ and the total score of SSAS, objective support, subjective support and utilization degree of social support scores, but they were significantly negatively correlated with the score of submissiveness of MCMQ. Conclusion： The quality of life of the patients with stroke was lower than that of the normal. The quality of life was significantly correlated with coping style and social support.