摘要
目的 探讨高分级动脉瘤术后生存质量情况,分析其影响因素,并制订针对性预防措施.方法 2015年1月—2016年6月采用脑卒中影响量表（stroke impact scale,SIS）对温州医科大学附属第一医院神经外科收治的95例高分级动脉瘤术后患者的生存质量情况进行调查,对可能影响患者术后生存质量的因素进行单因素分析和多元线性回归分析.结果 单因素分析显示,不同年龄、有无合并高血压、动脉瘤位置、动脉瘤大小、动脉瘤个数、WFNS分级、手术时机、术后有无并发症、有无吸烟饮酒患者的生存质量评分差异有统计学意义（P〈0.05）.多元线性回归分析显示,影响高分级动脉瘤术后生存质量最重要的因素为动脉瘤位置、手术时机、饮酒、吸烟、并发症、WFNS分级、血压和年龄（P〈0.05）.结论 影响高分级动脉瘤患者术后生存质量的因素较多,医生应充分告知家属,慎重决策,并制订有针对性的干预措施,提高患者生存质量.
Objective To explore the postoperative quality of life among patients with high grade aneurysm, and to analyze its influencing factors, and to pertinently draw up preventive measures.Methods A total of 95 patients with high grade aneurysm after surgeries in Military Surgery at the First Affiliated Hospital of Wenzhou Medical University were investigated on quality of life with the stroke impact scale （SIS） from January 2015 to June 2016. Single factor analysis and multiple linear regression analysis were used to influencing factors of postoperative quality of life among patients.Results Single factor analysis showed that there were statistically significant differences in the scores of quality of life in patients among different ages, history of hypertension, positions, sizes and numbers of aneurysm, classes of WFNS, operation opportunities, history of postoperative complications, history of smoking and drinking （P〈0.05）. Multiple linear regression analysis revealed that the most important influencing factors of postoperative quality of life among patients with high grade aneurysm were the positions of aneurysm, operation opportunities, drinking, smoking, complications, classes of WFNS, blood pressure and ages （P〈0.05）.Conclusions There are many influencing factors of postoperative quality of life among patients with high grade aneurysm. Doctors should fully inform family members, cautiously make decisions and pertinently draw up intervention so as to improve the quality of life of patients.
出处
《中华现代护理杂志》
2017年第29期3749-3752,共4页
Chinese Journal of Modern Nursing
基金
2015年温州市科技计划项目（2015Y0076）
