2种不同类型脑卒中患者生活质量的纵向调查分析

Longitudina study of the quality of life in two types of stroke patients

目的了解2种不同类型的脑卒中患者生活质量状况,为进一步实施干预以提高脑卒中患者的生活质量提供参考。方法使用现况研究法,应用脑卒中影响量表自评表(SIS)对164例脑出血、脑梗死患者进行卒中后2w和6个月2个时间段的调查,采用重复测量两因素方差分析对脑卒中患者的生活质量状况进行分析。结果脑出血和脑梗死患者患病2w时的生活质量总评分以及5个领域评分比较差异无统计学意义(P>0.05)。患病6个月时,脑出血患者的生活质量总评分和躯体功能评分优于脑梗死患者。患病2w和6个月的生活质量总评分及5个领域评分比较,除了情绪情感领域评分差异无统计学意义外,其他评分6个月时均优于2w。结论关注脑卒中患者的心理状况,使患者树立战胜疾病的信心,有助于提高生活质量,早日回归社会和家庭。

Obejtctive To assess the quality of life （QOL） in stroke patienis that could predict quality of life after stroke and also to provide reasonable methods for improving their QOL. Methods One hundred and sixty four cerebral hemorrhage patients and cerebral infarction patients were measured with stroke impact scale （SIS） and questionnaire survey at 2 weeks and 6 months after stroke. The patientsp state of life was analyzed with the repeated measurement two-way ANOVA method. Results The total score of QOL and the score of five fields between cerebral hemorrhage and cerebral infarction at 2 w were not statistically sig nificant （P 2〉0.05）. The total score of QOL with cerebral hemorrhage and physical function scores were better than those of cerebral infarction at 6 months. The score of quality of life at the 6 months after stroke was obviously higher than that at the 2 weeks, in addition to the score in the field of emotions and feel ings. Conclusion We should pay more attention to psychological nursing care for those stroke patienis, which is helpful for the improvement of the patient＇s daily activities so as to improve their quality of life.