Rastenytė Daiva, Krančiukaitė-Butylkinienė Daina, Bacevičienė Miglė, Lukšienė Dalia Ieva, Krančiukas Ramutis
Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Lithuania.
Medicina (Kaunas). 2010;46(12):851-8.
The aim of the study was to determine the associations between the quality of life and social and demographic factors in stroke survivors and control group.
The case group consisted of 508 inhabitants of Kaunas city who were aged 25-84 years and had survived a stroke. The control group included 508 age- and sex-matched inhabitants of Kaunas city randomly selected from the stroke-free population. The SF-12 questionnaire was used in the study. Quality of life in the physical and mental health domains with respect to social and demographic factors was analyzed.
A significant inverse correlation was found between the evaluation of physical health and age in both the stroke survivors and controls (r=-0.34, P<0.05, and r=-0.64, P<0.05, respectively). The comparison of the evaluation of physical health between men and women showed that only in the control group, men demonstrated significantly better physical health than women (P=0.0005), while no statistically significant difference in this respect was found comparing male and female stroke survivors. Stroke survivors of Lithuanian nationality reported better physical health as compared to individuals of other nationalities (P=0.008). Both the controls (P=0.01) and stroke survivors (P=0.008) who were not living alone scored higher on the physical health domain than their counterparts living alone. Employed subjects - both the controls and stroke survivors - presented better evaluations of their physical health (P=0.005 in both the groups).
Quality of life in the physical health domain worsened with age both in the stroke survivors and controls. Both in the stroke survivors and controls, males and females with higher education levels, not living alone, and having employment demonstrated better evaluations of their quality of life in the physical health domain compared to those with poorer education, living alone, or unemployed.
本研究的目的是确定中风幸存者与对照组的生活质量与社会和人口因素之间的关联。
病例组由508名考纳斯市居民组成，年龄在25 - 84岁之间，曾患中风且存活下来。对照组包括508名从无中风人群中随机选取的考纳斯市年龄和性别匹配的居民。本研究使用了SF - 12问卷。分析了社会和人口因素方面身心健康领域的生活质量。
在中风幸存者和对照组中，身体健康评估与年龄之间均发现显著的负相关（分别为r = -0.34，P < 0.05和r = -0.64，P < 0.05）。男性和女性身体健康评估的比较表明，仅在对照组中，男性的身体健康状况显著优于女性（P = 0.0005），而比较男性和女性中风幸存者在这方面未发现统计学上的显著差异。立陶宛国籍的中风幸存者与其他国籍的个体相比，身体健康状况更好（P = 0.008）。非独居的对照组（P = 0.01）和中风幸存者（P = 0.008）在身体健康领域的得分高于独居者。就业者——包括对照组和中风幸存者——对其身体健康的评估更好（两组均为P = 0.005）。
中风幸存者和对照组中，身体健康领域的生活质量均随年龄增长而恶化。在中风幸存者和对照组中，与教育程度较低、独居或失业的人相比，教育水平较高、非独居且有工作的男性和女性在身体健康领域对生活质量的评估更好。
