摘要
目的分析影响脑卒中患者生命质量的因素,为提高患者生命质量、临床护理干预提供依据。方法运用便利抽样的方法选取2017年1—10月在十堰市某三甲医院神经内科住院的138例脑卒中患者进行问卷调查,采用一般情况调查表和脑卒中生命质量量表(Stroke Specific Quality of Life Scale,S-SQOL)调查脑卒中一般情况和生命质量现况得分,采用单因素和多元线性回归,分析影响脑卒中患者生命质量的相关因素。结果138例脑卒中患者SQOL得分为153.35±46.44分,缺血性脑卒中SQOL各维度及总分得分均高于出血性脑卒中,除家庭角色、社会角色、思维、视力维度4个得分差异无统计学意义外(P>0.05),其他8个维度及SQOL总分差异均有统计学意义(P<0.05)。单因素分析显示,患者年龄(F=3.884,P=0.023)、文化程度(F=4.032,P<0.001)、职业(F=3.170,P=0.011)、家庭月收入(F=10.710,P<0.001)和伴随疾病(F=8.815,P=0.011)与脑卒中患者的生命质量有关;多因素分析显示,影响脑卒中患者生命质量的因素有年龄、职业、家庭月收入和自理能力。结论脑卒中患者生命质量得分较低,患者社会经济因素、自理能力是影响其生命质量的重要因素。
Objective To analyze the factors affecting the quality of life of stroke patients,and to provide evidence for improving patients'quality of life and clinical nursing intervention.Methods With convenient sampling method,138 stroke patients admitted to the Department of Neurology,a top three hospital in Shiyan City from January 2017 to October 2017 were selected for questionnaire survey.The general questionnaire and stroke quality of life scale(Stroke specific quality of life scale,S-SQOL)were used to investigate the general situation of stroke and quality of life scores,and single factor and multiple linear regression analysis were used to analyze factors affecting the quality of life of stroke patients.Results The SQOL scores of 138 stroke patients were 153.35±46.44.The scores of SQOL and total scores of ischemic stroke were higher than those of hemorrhagic stroke,except for family role,social role,thinking and visual dimension.The difference was not statistically significant(P>0.05),and the other eight dimensions and SQOL total scores were statistically significant(P<0.05).Univariate analysis showed that the patient's age(F=3.884,P=0.023),education(F=4.032,P<0.001),occupation(F=3.170,P=0.011),family monthly income(F=10.710,P<0.001)and concomitant disease(F=8.815,P=0.011)were related to the quality of life of stroke patients;multivariate analysis showed that factors affecting the quality of life of stroke patients were age,occupation,family monthly income and self-care ability.Conclusion The quality of life score of stroke patients is low.The socioeconomic factors and self-care ability of patients are important factors affecting the quality of life of stroke patients.
作者
郑艳
刘冰
姜峰波
柯攀
庄凤娟
陈艳
陈群秀
ZHENG Yan;LIU Bing;CHEN Qunxiu(Nursing Department of Shiyan People Hospital,Shiyan,Hubei,442000,China)
出处
《中国社会医学杂志》
2020年第1期46-49,共4页
Chinese Journal of Social Medicine
基金
湖北省教育厅人文社会科学基金项目(16Y124)
关键词
脑卒中
生命质量
影响因素
Stroke
Quality of life
Influencing factors
