Karube Narumi, Sasaki Aya, Hondoh Fumika, Odagiri Chiyo, Hagii Joji, Seino Satoshi, Yasujima Minoru, Osanai Tomohiro
Department of Nursing Science, Hirosaki University Graduate School of Health Sciences, Hirosaki, Japan.
Hirosaki Stroke and Rehabilitation Center, Hirosaki, Japan.
J Stroke Cerebrovasc Dis. 2016 Oct;25(10):2482-7. doi: 10.1016/j.jstrokecerebrovasdis.2016.06.022. Epub 2016 Jun 27.
Interaction of quality of life (QOL) in physical and psychological health and social environment has not been tested in stroke during a posthospitalization period, and a better understanding of the components of QOL would lead to a more integrated and person-centered approach to health management and outcome optimization. We investigated how QOL emerges from the sequelae of stroke and interacts with each other during the posthospitalization period.
We performed a cross-sectional study in 53 outpatients of stroke survivors (39 men and 14 women with a mean age of 66 years, 46 infarctions, and 7 hemorrhages).
Eight QOL domains of psychological health were scored by interview, and 2 of them ("desire to distend what they can do" or "desire to do rehabilitation") were associated with the improvement of physical health during the posthospitalization period (P < .05 and P = .08, respectively). These patients were characterized by the items like "I need to succeed for health improvement, to go home, to go back to work, and to see grandchildren" as goals to achieve their desire (P < .05). In interaction of QOL in psychological health and social environment, another psychological domain "to gain satisfaction from the experience" was closely related to the presence of hobby or work before stroke attack (P < .05).
During the posthospitalization period, QOL of psychological health may support that of physical health, being associated with the presence of hobby or work before stroke attack.
在出院后的恢复期，尚未对中风患者的生活质量（QOL）在生理和心理健康及社会环境方面的相互作用进行测试，而对生活质量组成部分的更好理解将有助于形成更综合且以患者为中心的健康管理方法和优化结果。我们调查了中风后遗症如何产生生活质量以及在出院后期间它们如何相互作用。
我们对53名中风幸存者门诊患者（39名男性和14名女性，平均年龄66岁，46例梗死，7例出血）进行了横断面研究。
通过访谈对心理健康的8个生活质量领域进行评分，其中2个领域（“渴望拓展自身能力”或“渴望进行康复治疗”）与出院后期间身体健康的改善相关（分别为P < 0.05和P = 0.08）。这些患者的特征是将“我需要为改善健康、回家、重返工作岗位以及看望孙辈而取得成功”等项目作为实现其愿望的目标（P < 0.05）。在心理健康和社会环境方面的生活质量相互作用中，另一个心理领域“从经历中获得满足感”与中风发作前是否有爱好或工作密切相关（P < 0.05）。
在出院后期间，心理健康的生活质量可能支持身体健康的生活质量，这与中风发作前是否有爱好或工作有关。
