初发脑梗死患者恢复期生存质量的评价

Quality of Life of Primary Cerebral Infarction Patients in Convalescence Stag

目的评价初发脑梗死患者恢复期的生存质量,为初发脑梗死患者就医和临床医生的治疗提供更科学的建议。方法采用脑卒中专门化生存质量量表对初发脑梗死患者恢复期生存质量进行评价研究,运用秩和检验和多元逐步回归的方法进行统计分析。结果本组368例初发脑梗死患者生存质量普遍下降,社会一般工作能力(49%)和社会适应角色(43%)明显低于其他维度;就诊于不同等级医院的初发脑梗死患者的生存质量没有明显差别(P>0.05);发病后96h内入院患者恢复期生存质量较好(P<0.01);腔隙性梗死患者生存质量在脑梗死的临床四类分型中最好(P<0.01)。结论初发脑梗死患者恢复期生存质量与就诊时间相关,与发病部位相关;就近尽快就诊是提高恢复期生存质量的重要环节。

Objective To study the quality of life（QOL）of primary cerebral infarction patients in convalescence stag.Methods QOL of primary cerebral infarction patients was evaluated by Stroke-Specific Quality of Life Scale（SS-QOLS）and analyzed using rank test and multiple regression method.Results QOL of primary cerebral infarction patients generally decreased,especially obvious in work ability（49%）and social activity（43%）.Treatment in different grades of hospitals had no different effects on QOL（P〉0.05）;treatment in 48-96 h from morbility could improve QOL significantly（P〈0.01）;QOL of lacunar infarction patients was the best among the four types of cerebral infarction（P〈0.01）.Conclusion QOL of primary cerebral infarction patients in convalescence stage is related with admission time and pathogenic sites.To visit near hospital in time is significant to improve QOL.