急性脑卒中患者生存质量及其影响因素研究

The study of acute ischemic stroke patients' quality of life and related influence factors

目的通过研究脑卒中患者生活质量状况及其影响因素,探索卒中后抑郁及焦虑状态的严重程度与脑卒中患者生存质量的相关性,为降低卒中人群社会医疗负担提供依据。方法对哈尔滨医科大学附属第一医院2013年5月至2014年2月急性脑卒中住院患者进行登记调查,病历资料采集。在基线期[(14±3)d]完善脑卒中生存质量专用量表,并在1、3、6个月进行随访。所有数据采用EXCEL和SPSS 19.0统计软件对其进行处理分析,P<0.05为差异有统计学意义。结果共调查109例急性卒中患者,共104例完成随访。随着时间延长,脑卒中患者日常生活能力渐恢复,生存质量逐渐提高(P<0.01);性别、年龄、收入、文化程度、社会支持程度与脑卒中患者生存质量显著相关(P<0.01);卒中急性期及发病1个月内卒中后抑郁发病率最高,卒中后抑郁影响脑卒中患者生存质量(P<0.05)。结论卒中后活动能力的恢复可提高卒中患者生活质量。早期干预、积极治疗卒中后抑郁可促进神经功能恢复。

Objective To explore factors that affect the quality of life ,and find out its influencing factors,ultimately, to provide the evidence for reducing the burden of social health of stroke survivors . Methods The hospitalized patients suffered with acute stroke on May 2013 to February 2014 in First Affiliated Hospital of Harbin Medical University were selected .General information was consummated .Special quality of life scale of stroke and basic information were investigated at baseline [（14 ±3）days],and in 1, 3,6 months follow-up.All data were analyzed by EXCEL and SPSS 19.0, P 〈0.05 was considered statistically significant .Results Total of 109 cases of acute stroke patients were enrolled , 104 patients completed followu-p .Quality of life was gradually increased with prolonged （ P 〈0.01 ） .Quality of life of stroke survivors was associated with gender , age, income, education, and social support significantly （ P 〈0.01 ） .The maximum incidence of depression was one month after onset of stroke （ P〈0.05） .Conclusion Better recovery after stroke can improve the quality of life .Early intervention, aggressive treatment ofdepression after stroke may promote recovery of neurological function .