摘要
目的:了解社区脑卒中患者病后生活状况,为社区脑卒中二级预防及康复管理提供科学参考。方法:收集2015年7月至9月门诊及住院进行健康档案登记管理的206例脑卒中患者,其中44.66%的患者发病≥2次。采用迪纳生活满意度量表(SWLS)、抑郁症筛查量表(PHQ-9)、脑卒中患者生存质量量表(SIS)、社会支持量表(SSRS)和慢性病管理评价量表(PACIC)评价脑卒中患者病后生活状况。结果:脑卒中患者的SWLS评分为(23.98±7.32)分,SIS评分为(80.35±19.76)分,SSRS评分为((31.74±7.67)分,PACIC评分为(3.11±0.82)分,PHQ-9得分中位数(四分位距)为3.00(0-8.00)分。第2次发病和独居脑卒中患者的SWLS评分最低(P<0.05);第2次发病患者的PHQ-9评分最高(P=0.002);80岁及以上年龄组和第2次发病患者的SIS评分最低(P=0.001);离异或丧偶、小学及以下文化、独居患者的SSRS评分最低(P<0.05);相比60~69岁年龄组,80岁及以上年龄组患者的PACIC评分更高(P=0.035);第2次发病、离异或丧偶、和子女居住脑卒中患者的PACIC评分分最高(P<0.05)。结论:脑卒中患者患病后生活满意度和生活质量评分较好,抑郁水平较低,但对社会支持和慢性病管理的评价较低。
Objective： To understand the post-disease living conditions of patients with stroke in the community to provide the scientific reference for secondary prevention and rehabilitation management of stroke in the community. Methods： From July to September 2015 206 cases of stroke patients who were registered in the management of health records in the outpatient and inpatient hospital were collected and of these, 44.66% had ≥ 2 incidences. Dina satisfaction with life scale（SWLS）, depression screening scale（PHQ-9）, stroke patients＇ quality of life scale（SIS）, social support rating scale（SSRS） and chronic disease management rating scale（PACIC） were used to evaluate post-disease living conditions of the stroke patients, Results： The SWLS score of the stroke patients was（23.98±7.32）, the SIS score was（80.35±19.76）, the SSRS score was（31.74±7.67）, the PACIC score was（3.11±0.82）, and the median of the PHQ-9 score（four sub distance） was 3.00（0-8.00）. SWLS scores were lowest in patients with stroke and solitary stroke（P0.05）; the PHQ-9 score of the second onset patients was the highest（P=0.002）; the SIS scores were lowest in the 80-year-old and above age group and the second incidence（P=0.001）; the SSRS scores of divorced or widowed, primary and secondary cultures and solitary patients were the lowest（P0.05）; compared with the 60-69 age group, the PACIC scores were higher in patients aged 80 years and over（P=0.035）; the scores of PACIC scores were the highest in the 2 nd stroke, divorced or widowed and stroke patients living with the children（P0.05）. Conclusion： The scores of life satisfaction and quality of life after the illness of the stroke patients are better, and the level of depression is lower. However, the evaluation of social support and chronic disease management is low.
作者
顾竞春
李勤
顾怡勤
GU Jingchun;LI Qin;GU Yinqin(Office of Zhijiangxilu Community Health Service Center of Jingan District,Shanghai 200070,Chin)
出处
《上海医药》
CAS
2018年第12期57-60,共4页
Shanghai Medical & Pharmaceutical Journal
基金
2014年上海市卫生和计划生育委员会科研课题(201440638)
关键词
脑卒中
生活状况
横断面调查
stroke
living condition
cross-sectional survey
