Gokkaya Nilufer K O, Aras Meltem D, Cakci Aytul
Ankara Physical Medicine and Rehabilitation, Education and Research Hospital, Turkey.
Int J Rehabil Res. 2005 Sep;28(3):229-35. doi: 10.1097/00004356-200509000-00005.
Stroke is a major, chronically disabling neurological disease, which often radically and permanently changes the lives of the victims. Improvement of motor coordination and the degree of independence achieved in activities of daily living have been the usual criteria used to measure outcome in stroke rehabilitation. The objective of our study is to compare health-related quality of life (HRQOL) between stroke patients 6 months after rehabilitation and a control group who did not have any major illness. The associations of several factors with the quality of life were also examined. Sixty consecutive stroke patients and 58 healthy control participants were included in the study. Functional independence measure (FIM), Nottingham health profile (NHP) and demographic variables were used as the main outcome measures. There were significant improvements in both motor coordination and functional status as measured by FIM at discharge and also 6 months after stroke and these variables were significantly associated with the HRQOL. The NHP, which is a validated quality-of-life measurement in Turkish patients, was used and the scores were compared with the healthy control participants. The scores of NHP domains (energy level, emotional reactions, sleep, social isolation and physical mobility) of the stroke patients were higher than those of the healthy group (P<0.01). Age, marital status, lesion side and multiple stroke history showed no significant correlation with NHP scores. Being a woman, lower educational status, tendency to depression and the presence of several comorbidities were significantly correlated with the NHP scores. Stroke survivors in our society have lower HRQOL than healthy individuals. HRQOL is correlated with the functional status in the stroke population. Additionally, the reduced HRQOL after stroke appears to be related to several demographic properties such as sex, education, comorbidities and psychological factors.
中风是一种主要的、导致长期残疾的神经系统疾病，它常常从根本上永久性地改变受害者的生活。运动协调性的改善以及日常生活活动中所达到的独立程度一直是衡量中风康复效果的常用标准。我们研究的目的是比较中风患者康复6个月后与未患重大疾病的对照组之间的健康相关生活质量（HRQOL）。还研究了几个因素与生活质量的关联。该研究纳入了60例连续的中风患者和58名健康对照参与者。功能独立性测量（FIM）、诺丁汉健康量表（NHP）和人口统计学变量被用作主要结局指标。出院时以及中风后6个月，通过FIM测量的运动协调性和功能状态均有显著改善，且这些变量与HRQOL显著相关。使用了在土耳其患者中经过验证的生活质量测量工具NHP，并将得分与健康对照参与者进行比较。中风患者的NHP领域（能量水平、情绪反应、睡眠、社交隔离和身体活动能力）得分高于健康组（P<0.01）。年龄、婚姻状况、病灶侧和多次中风史与NHP得分无显著相关性。女性、较低的教育水平、抑郁倾向以及几种合并症的存在与NHP得分显著相关。我们社会中的中风幸存者的HRQOL低于健康个体。HRQOL与中风人群的功能状态相关。此外，中风后HRQOL的降低似乎与一些人口统计学特征有关，如性别、教育程度、合并症和心理因素。
