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上海住院期脑卒中亚急性期患者的生活质量。

Quality of life among patients during subacute phase following stroke during hospitalisation period in Shanghai.

机构信息

a Department of Neurology , Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine , Shanghai , PR China.

b Centre for Mental Health Research , The Australian National University , Canberra , Australia.

出版信息

Int J Psychiatry Clin Pract. 2018 Nov;22(4):296-303. doi: 10.1080/13651501.2018.1432763. Epub 2018 Feb 19.

Abstract

This study aimed to investigate the factors influencing the quality of life of in-hospital subacute stroke patients. The patients of subacute stroke (within four weeks) in our institution between 2015 and 2016 were recruited. Patients' characteristics and QOL were obtained from medical charts and stroke-specific quality of life scale (SS-QOL). Associations of each domain in SS-QOL with socio-demographic, clinical factors and patient satisfaction were investigated using the linear regression models. Among the 203 subjects, 60 were diagnosed as large artery atherosclerosis (LAA), 80 were small-artery occlusion (SAO), 28 were cardioembolism (CE) and 35 were intracranial haemorrhage (ICH). The ICH group had the worst self-care ability and upper extremity function. Worse severity of stroke was associated with lower levels of language ability, mobility, mood status and upper-extremity function. Participants who had better satisfaction had high levels of capability of conducting family roles, positive emotions, personality consistency, self-care ability and capacity of conducting social roles. The level of patient satisfaction, duration of hospitalisation and the severity of stroke were found to be the three important factors associated with SS-QOL at hospital discharge, indicating doctors might assist patients adjust to the consequences of stroke and improve the QOL of subacute stroke.

摘要

本研究旨在探讨影响住院亚急性脑卒中患者生活质量的因素。 我们从病历和中风专用生活质量量表(SS-QOL)中获取了 2015 年至 2016 年期间我院亚急性中风(4 周内)患者的特征和生活质量。 使用线性回归模型研究了 SS-QOL 中每个领域与社会人口统计学、临床因素和患者满意度的关系。 在 203 名受试者中,60 人被诊断为大动脉粥样硬化(LAA),80 人被诊断为小动脉闭塞(SAO),28 人被诊断为心源性栓塞(CE),35 人被诊断为颅内出血(ICH)。ICH 组的自我护理能力和上肢功能最差。 中风严重程度越差,语言能力、活动能力、情绪状态和上肢功能越低。满意度较高的患者在履行家庭角色的能力、积极情绪、人格一致性、自我护理能力和履行社会角色的能力方面得分较高。 患者满意度、住院时间和中风严重程度是与出院时 SS-QOL 相关的三个重要因素,这表明医生可能会帮助患者适应中风的后果并提高亚急性中风患者的生活质量。

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