Kranciukaite-Butylkiniene Daina, Rastenyte Daiva, Jureniene Kristina, Jancaityte Lina
Institute of Cardiology, Kaunas University of Medicine, Kaunas, Lithuania.
Medicina (Kaunas). 2009;45(11):896-903.
The aim of the study was to compare the quality of life between stroke survivors and controls with respect to their health, daily activities, and emotional status. CONTINGENT AND METHODS OF THE STUDY: The studied group consisted of 508 25-84-year-old inhabitants of Kaunas city who have survived first-onset stroke. The control group consisted of 508 age- and sex-matched randomly selected inhabitants of Kaunas city who had not experienced stroke. The SF-12 Quality of Life Questionnaire was used for the study. Logistic regression was used to compare quality of life with respect to health, daily activities, and emotional status.
Only 1.0% of stroke survivors evaluated their health as excellent or very good, compared to 24.4% of the controls (P=0.0005); the respective percentages of those who evaluated their health as poor or fair were 78.9% and 26.4% (P=0.0005). Health significantly limited moderate activities in 35.2% of stroke survivors and 3.5% of controls (P=0.0005). During the last 4 weeks, health status or emotional problems most of the time or a little of the time impeded social activities in 19.3% of stroke survivors and 1.6% of controls (P<0.05). When comparing with respect to age, sex, and diseases (arterial hypertension, myocardial infarction, atrial fibrillation, diabetes mellitus, transient ischemic attack), stroke had the greatest negative effect on social activities (odds ratio, 36.7), caused sadness (odds ratio, 16.0), and significantly limited home activities (odds ratio, 15.5).
Less that one-third (28.2%) of stroke survivors evaluated their health as poor, and 50.7% as fair as compared to 1.8% and 24.6% of controls, respectively. Stroke significantly impaired the subjects' emotional status and limited their daily activities.
本研究的目的是比较中风幸存者与对照组在健康、日常活动及情绪状态方面的生活质量。
研究组由508名考纳斯市25至84岁的首次中风幸存者组成。对照组由508名年龄和性别匹配、随机选取的未经历过中风的考纳斯市居民组成。本研究使用SF - 12生活质量问卷。采用逻辑回归分析比较健康、日常活动及情绪状态方面的生活质量。
仅1.0%的中风幸存者将自身健康评为优秀或非常好，而对照组这一比例为24.4%（P = 0.0005）；将自身健康评为差或一般的中风幸存者和对照组的相应比例分别为78.9%和26.4%（P = 0.0005）。健康状况显著限制了35.2%的中风幸存者和3.5%的对照组进行中等强度活动（P = 0.0005）。在过去4周内，健康状况或情绪问题在大部分时间或部分时间阻碍了19.3%的中风幸存者和1.6%的对照组参与社交活动（P < 0.05）。在比较年龄、性别和疾病（动脉高血压、心肌梗死、心房颤动、糖尿病、短暂性脑缺血发作）时，中风对社交活动的负面影响最大（优势比为36.7），会导致悲伤情绪（优势比为16.0），并显著限制家庭活动（优势比为15.5）。
与对照组中分别为1.8%和24.6%的比例相比，不到三分之一（28.2%）的中风幸存者将自身健康评为差，50.7%评为一般。中风显著损害了受试者的情绪状态并限制了他们的日常活动。
