摘要
目的:探讨脑动脉瘤手术患者生活质量影响因素,旨在为针对性改善患者的生活质量提供参考依据。方法:采用自编问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)、社会支持评定量表(SSRS)和SF-36量表对2010年7月至2012年7月在我院神经外科住院治疗的36例脑动脉瘤手术患者进行测评,同时选择36例年龄与脑动脉瘤手术患者相匹配的正常人为对照组,应用统计学方法分析脑动脉瘤手术患者生活质量和影响因素。结果:脑动脉瘤手术患者的SF-36量表中各维度指标得分均明显低于年龄与脑动脉瘤手术患者相匹配的正常人,差异有统计学意义(P<0.05),多元逐步回归分析发现:文化程度、患者对疾病了解程度、主观支持分和社会支持评定量表总分与脑动脉瘤手术患者生活质量正相关,而Fisher's分级、Hunt-Hess分级、术后并发症、焦虑抑郁情绪与脑动脉瘤手术患者生活质量负相关。结论:脑动脉瘤手术患者的生活质量较低,受很多因素影响,我们在临床工作中要采取针对性的干预措施,改善患者的生活质量。
Objective：To investigate the cerebral aneurysm surgery patients quality of life impact factors,aims to improve the quality of life of patients targeted to provide a reference.Methods：using self questionnaire,the Self-Rating Depression Scale（SDS）,anxiety self-rating scale（SAS）,Social Support Rating Scale（SSRS） and SF-36 scale in my July 2010 to July 2012 the hospital neurosurgery hospital treatment of 36 cases of cerebral aneurysm surgery patients,evaluation,and select 36 cases of age with cerebral aneurysm surgery patients matched healthy control group,the application of statistical analysis of the quality of life of patients with cerebral aneurysm surgery and impact factors.Results：Indicators of each dimension of the SF-36 scale of the cerebral aneurysm surgery patients score significantly lower than matched healthy age with cerebral aneurysm surgery patients,the difference was statistically significant（P0.05）,stepwise multiple regression analysis found ： level of education,patient understanding of disease,subjective support points and the social Support Rating Scale total score and cerebral aneurysm surgery quality of life in patients with positive correlation,and Fisher’s classification,HuntHess grading,postoperative complications,anxiety and depression emotional and cerebral aneurysm surgery quality of life in patients with negative correlation.Conclusion：cerebral aneurysm surgery in patients with a lower quality of life,affected by many factors,in clinical work to take targeted interventions to improve the quality of life of patients.
出处
《中国医药导刊》
2013年第5期777-778,780,共3页
Chinese Journal of Medicinal Guide
关键词
脑动脉瘤
生活质量
影响因素
横断面调查
Cerebral aneurysms
Quality of life
Influencing factors
Cross-sectional survey
