卒中后偏瘫患者配偶BCoS评分现况调查及影响因素

Investigation on the Score of BCoS for Spouses of Patients with Post-Stroke Hemiplegia and Its Influencing Factors

目的探讨卒中后偏瘫患者配偶伯明翰认知评估量表(BCoS)评分现况调查及影响因素。方法选取郑州人民医院卒中中心2018年1月至2020年12月收治改良Rankin量表(MRS)评分3分以上的卒中后偏瘫患者418例,采用BCoS进行调查研究,对收集的数据进行单因素及多因素logistic回归分析其影响因素。结果照顾者负荷总分为(56.36±11.21)分,各维度由高到低:情感负荷(13.26±2.13)分;社会负荷(25.61±4.17)分;身体负荷(14.37±3.82)分;经济负荷(3.12±1.09)分;进行多因素logistic回归分析,结果表明年龄、受教育程度、是否与患者共同生活均是卒中后偏瘫患者配偶负荷的影响因素(P<0.05)。结论本研究发现年龄、受教育程度以及是否与患者共同生活均是影响卒中患者配偶负荷的重要因素,临床应据此采取干预措施,减轻卒中后偏瘫患者配偶的负担,以提高卒中患者康复效果。

Objective To investigate the score of Birmingham cognitive assessment scale(BCoS) and its influencing factors of spouses of patients with post-stroke hemiplegia.Methods Four hundred and eighteen patients with post-stroke hemiplegia with a modified Rankin scale(MRS) scoreof more than 3 points were selected from the stroke center of Zhengzhou people’s Hospital from January 2018 to December 2020.The BCoS was used for investigation and research.The collected data were analyzed by univariate and multivariate logistic regression.Results The total score of caregiver load was(56.36±11.21) points,from high to low:emotional load with(13.26±2.13) points,social load with(25.61±4.17) points,body load with(14.37±3.82) points,economic load with(3.12±1.09) points.Multivariate logistic regression analysis showed that age,education level and living with patients were the influencing factors of spouse load in patients with post-stroke hemiplegia(P<0.05).Conclusion This study found that age,education level and living with patients are important factors affecting the spouse load of stroke patients.Clinical intervention measures should be taken to reduce the burden of spouses of post-stroke hemiplegic patients,so as to improve the rehabilitation effect of stroke.