中青年首发脑卒中病人社会支持、心理状况与生活质量的相关性研究

Social support and psychological status of young and middle-aged patients with first stroke and correlation between them and patients' quality of life

[目的]了解中青年脑卒中病人生活质量水平及其影响因素,分析其与社会支持水平、心理状况的相关性。[方法]采用自制的病人人口学资料问卷、社会支持量表(SSRS)、医院焦虑抑郁量表(HAD)、生存质量精简量表(QOL-BREF),对100例中青年脑卒中住院病人进行横断面调查,分析中青年首发脑卒中病人生活质量的影响因素。[结果]中青年脑卒中病人医院焦虑抑郁量表得分19.49分±6.05分,总体生活质量得分6.15分±1.14分,社会支持量表得分24.21分±7.39分。经单因素分析显示:家庭收入水平、病人生活自理程度是病人生活质量的影响因素;院内焦虑抑郁状况与病人生活质量呈负相关。[结论]焦虑抑郁状态在中青年首发脑卒中住院病人中普遍存在,并且可影响病人生存质量。临床护理工作者应及时全方位评估病人院内焦虑情况、社会支持系统,及时提供有针对性的护理干预对策,从而减轻病人院内焦虑抑郁水平,提高其生活质量。

Objective：To know about the quality of life of young and middle aged patients with first stroke and its influence factors,analyze the correlation with social support level and psychological status.Methods：A total of 100 young and middle aged inpatients with stroke received the cross sectional survey by using the self made patient demographic data questionnaire,Social Support Rating Scale （SSRS）,Hospital Anxiety and De-pression Scale （HAD）and Quality of Life Reduced Scale （QOL BREF）,then to analyze the influencing factors of quality of life of young and middle aged patients with first stroke.Results：The HAD scale score of young and middle aged inpatients with stroke was 19.49±6.05,the overall quality of life score was 6.15±1.14,the social support scale score was 24.21±7.39.Univariate analysis showed that the family income level and life self care degree of patients were the influencing factors of their quality of life;the anxiety and depression status was negatively correlated with patients’quality of life.Conclusion：The anxiety and depression status in young and middle aged patients with first stroke was common and could affect patients’quality of life.Clinical nurses should timely and fully evaluate the patient’s hospital anxiety and social support system,timely provide the targeted nursing interventions,so as to reduce the level of hospital anxiety and depression in patients,improve their quality of life.