卒中与充血性心力衰竭对生活质量降低的差异：一项包含三组对照的病例系列研究。
Differential aspects of stroke and congestive heart failure in quality of life reduction: a case series with three comparison groups.
机构信息
Stroke Clinic of the Federal University of Bahia, Ambulatório Magalhães Neto, Rua Padre Feijó 240 Canela, Bahia, Brazil.
出版信息
Health Qual Life Outcomes. 2011 Aug 10;9:65. doi: 10.1186/1477-7525-9-65.
BACKGROUND
To assess QOL of patients with stroke in comparison to other groups (caregivers and CHF patients), to identify which items of QOL are more affected on each group and what is the functional profile of patients with stroke.
METHODS
Consecutive stroke or congestive heart failure (CHF) patients were evaluated and compared to their caregivers (caregivers). The NIH Stroke Scale (NIHSS) and EuroQoL-5D (EQ-5D) scale were applied.
RESULTS
We evaluated 67 patients with stroke, 62 with CHF and 67 caregivers. For stroke patients, median NIHSS score was four. EQ-5D score was significantly worse in stroke, as compared to CHF and caregivers (0.52, 0.69 and 0.65, respectively). Mobility and usual activity domains were significantly affected in stroke and CHF patients as compared to caregivers; and self-care was more affected in stroke as compared with the other two groups.
CONCLUSIONS
Despite a mild neurological deficit, there was a significantly worse QOL perception in stroke as compared to CHF patients, mostly in their perception of self-care.
背景
评估中风患者与其他群体（照顾者和心力衰竭患者）的生活质量，确定哪些生活质量项目在每个群体中受到更大的影响，以及中风患者的功能状况如何。
方法
连续评估中风或充血性心力衰竭（CHF）患者，并将其与他们的照顾者（照顾者）进行比较。应用 NIH 中风量表（NIHSS）和 EuroQoL-5D（EQ-5D）量表。
结果
我们评估了 67 例中风患者、62 例 CHF 患者和 67 名照顾者。对于中风患者，NIHSS 评分中位数为 4 分。与 CHF 和照顾者相比，中风患者的 EQ-5D 评分明显更差（分别为 0.52、0.69 和 0.65）。与照顾者相比，中风和 CHF 患者的活动能力和日常活动领域受到明显影响；与其他两组相比，中风患者的自我护理更受影响。
结论
尽管存在轻度神经功能缺损，但与 CHF 患者相比，中风患者的生活质量感知明显更差，主要是在自我护理方面。
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