青年脑卒中患者伤残接受度现状调查、影响因素及其与生活质量的相关性研究

Investigation on status quo and influencing factors of disability acceptance of young stroke patients,and its correlation with quality of life

目的分析青年脑卒中患者伤残接受度现状、影响因素及其与生活质量的相关性。方法调查2018年6月至2022年6月南京医科大学附属淮安第一医院就诊的300例青年脑卒中患者一般资料、伤残接受度及生活质量。以多元线性回归分析青年脑卒中患者伤残接受度的影响因素,以Pearson相关分析法分析伤残接受度与生活质量的相关性。结果300例青年脑卒中患者对身体形态的从属性评分最低,且其伤残接受度处于中等偏低接受水平,中、低接受水平占比较高;脑卒中专用生活质量量表(SS-QOL)得分与伤残接受度评分呈正相关(r>0,P<0.05)。多元线性回归分析结果显示,性别、文化程度、家庭月收入、患病至就诊时间、电子计算机断层扫描分型、改良Rankin评分、SS-QOL评分均为青年脑卒中患者伤残接受度的影响因素(P<0.05)。结论青年脑卒中患者伤残接受度水平有待提高,其影响因素较多,且SS-QOL评分与伤残接受度评分呈正相关。

Objective To analyze the status quo and influencing factors of disability acceptance of young patients with stroke and its correlation with quality of life.Methods The general information,disability acceptance,and quality of life of 300 young patients with stroke in the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University from June 2018 to June 2022 were investigated.The influencing factors of disability acceptance in young patients with stroke were analyzed by multiple linear regression,and the correlation between disability acceptance and quality of life was analyzed by Pearson correlation analysis.Results A total of 300 young patients with stroke had the lowest subordinate score of body shape,and their total disability acceptance score was in the middle and low acceptance level,with the middle and low acceptance levels were relatively high.The scores of stroke-specific quality of life(SS-QOL)scale were positively correlated with scores of disability acceptance(r>0,P<0.05).The results of multiple linear regression showed that gender,level of education,monthly family income,time from illness to treatment,computerized tomography classification,modified Rankin score,and score of SS-QOL were influencing factors of disability acceptance of young patients with stroke(P<0.05).Conclusion The level of disability acceptance of young patients with stroke should be improved,and there are many influencing factors,all scores of SS-QOL are positively correlated with disability acceptance score.