脑卒中患者生活质量及其影响因素回归分析

The regression analysis on quality of life of post-stroke patients and its influencing factors

目的 探讨脑卒中后患者生活质量测评及其影响因素.方法 采用自编的一般情况量表、抑郁自评量表（SDS）、社会支持量表和脑卒中影响量表（SIS）对101例脑卒中后1个月患者进行问卷调查.结果 多元逐步回归分析脑卒中后1个月患者生存质量的影响因素包括年龄、康复训练、抑郁自评量表得分和恢复自评得分,上述4个因素共解释了总体生存质量得分51.9%的变化（R2=0.519,P＜0.05）.结论 SIS量表评定脑卒中后1个月患者生存质量具有可靠的信度和应答率;在脑卒中患者康复初期给予专业康复训练,及时心理干预患者抑郁状态和对疾病认知可提高其生存质量.

Objective To explore the quality of life （QOL） of stroke patients and its influencing factors. Methods 101 patients received the observational research after one-month post-stroke. The assessment included a self-designed demography and disease scale, self-rating depression scale, social support scale and stroke impact scale （SIS）. Results Regression analysis indicated that age, rehabilitation training, self-rating depression scores and self-rating recovery scores were four significant influencing factors of stroke patients＇ QOL （R2=0.519, P〈0.05）. Conclusions The SIS was a feasible means of assessing post-stroke patients＇ QOL.Specialized rehabilitation training and specific mental intervention could improve the life quality of post-stroke patients.