WHOQOL-BREF在脑卒中偏瘫患者中的应用

Analysis of the clinical application of WHOQOL-BREF in hemiplegic patients caused by stroke

目的 应用WHOQOL BREF研究脑卒中偏瘫患者不同时期生存质量的变化以及康复治疗对生存质量的影响。方法 5 0例急性脑卒中患者被随机分为康复组和对照组 ,每组各 2 5例 ,两组患者均接受药物治疗 ,康复组同时进行以运动训练为主的康复治疗。采用WHOQOL BREF量表和生存质量主观感受评分分别于病程 1,3和 6个月对患者进行评估。结果 康复组病程 3个月、6个月与对照组病程 6个月时 ,WHOQOL BREF在生理、心理和环境领域评分均显著高于同组病程 1个月时 (P <0 .0 5 ) ,这 3个领域评分在康复组病程 3个月和 6个月时均显著高于同期对照组 (P <0 .0 5 )。康复组病程 6个月时主观感受评分显著高于同组病程 1个月时 (P <0 .0 5 ) ,与对照组同期比较 ,差异也有显著性意义 (P <0 .0 5 )。结论 临床上应用WHOQOL BREF可反映脑卒中偏瘫患者不同时期生存质量的变化 ,同时证明康复治疗有利于改善患者的生存质量。

Objective To explore the change of the quality of life (QOL) during different periods and the therapeutic effect of rehabilitation on QOL in stroke patients by using the adapted brief version of the World Health Organization quality of life questionnaire (WHOQOL-BREF). Methods Fifty acute stroke patients were divided into a rehabilitation group (25 cases) and a control group (25 cases) randomly. The drug treatment in the two groups was almost the same. The patients in the rehabilitation group carried out rehabilitation therapy at the same time. WHOQOL-BREF was used at 1, 3 and 6 months after the onset of stroke. All patients graded themselves according to their subjective feeling on QOL at the same time. Results The patients in the rehabilitation group at 3 and 6 months and the patients in the control group at 6 months demonstrated much higher scores in physical, psychological and environmental domains of WHOQOL-BREF than those in the same group at 1 month. The scores of the three domains in the rehabilitation group at 3 and 6 months were higher than those in the control group at the same time. The subjective feeling on QOL score in the rehabilitation group at 6 months were also higher than those in the rehabilitation group at 1 month and the control group at 6 months. Conclusion The QOL during different periods in stroke patients has undergone a great change as revealed by the WHOQOL-BREF. The rehabilitation therapy can effectively improve QOL of stoke patients.