中年脑卒中患者生存质量与其心理痛苦的相关性及护理对策

The relationship between quality of life and psychological distress in middle aged patients with stroke and analysis of the nursing strategies

目的分析中年脑卒中患者生存质量与其心理痛苦的关系,并制定针对性的护理对策。方法通过自行设计的基线资料调查表、脑卒中痛苦量表对120例中年脑卒中患者的基础信息、心理情况进行调查,同时通过脑卒中影响量表(SIS)调查患者生存质量,并对影响脑卒中患者生存质量的相关项目行单因素、多元逐步回归分析。结果中年脑卒中患者SIS总分平均(180.85±10.35)分;120例患者中存在心理痛苦46例(38.33%)。合并有并发症、后遗症和心理痛苦患者SIS总分分别为(150.36±12.01)、(143.55±13.16)和(140.24±15.46)分,均显著低于无并发症、后遗症和心理痛苦的(188.21±10.25)、(190.02±10.69)和(187.69±10.37)分,差异均有统计学意义(P<0.05)。多元逐步回归分析得出脑卒中患者生存质量影响因素为合并并发症、失眠症状、后遗症和心理痛苦。结论中年脑卒中患者生存质量与心理痛苦有关,同时合并有并发症、后遗症、失眠症状者也会影响患者的生存质量。对此需从心理辅导、自我管理能力提升以及改善睡眠质量等方面入手,以提高患者的生存质量。

Objective To analyze the relationship between quality of life and psychological distress in middle aged patients with stroke and to establish the corresponding nursing strategies. Methods The basic data and psychological status of 120 patients with stroke were investigated by self-designed baseline data questionnaire and stroke distress scale. Meanwhile, the quality of life of patients was investigated by Stroke Impact Scale （SIS）. The single factor and multiple stepwise regression analysis were performed on the factors influencing the quality of life of patients with stroke. Results The average total score of SIS in middle aged patients with stroke was （180.85±10.35）. Among the 120 patients, 46 cases （38. 33%） had psychological distress. The total score of SIS in patients with complications, sequelae and psycho-logical distress[（150.36±12.01）, （143.55±13.16）, （140.24±15.46）] were significantly lower than those in patients without complications, sequelae and psychological distress[（188.21 ±10.25）, （190.02 ±10.69）, （187.69± 10.37）] （P;0.05）. Multiple stepwise regression analysis showed that the factors influencing the quality of life of patients with stroke were complications, insomnia symptoms, sequelae and psychological distress. Conclusion The quality of life of middle aged patients with stroke is related to psychological distress. Complications, sequelae and insomnia can also affect the quality of life of patients with stroke. In order to improve the quality of life, it is necessary to improve psychological counseling, self management ability and sleep quality, etc.