Ramos-Lima Maria José Melo, Brasileiro Ismênia de Carvalho, Lima Tamires Layane de, Braga-Neto Pedro
Centro de Ciencias da Saude, Universidade Estadual do Ceara, Fortaleza, CE, BR.
Departamento de Fisioterapia, Universidade Estacio do Ceara, Fortaleza, CE, BR.
Clinics (Sao Paulo). 2018 Oct 8;73:e418. doi: 10.6061/clinics/2017/e418.
The aim of the study was to analyze the impact of ischemic stroke on health-related quality of life (QoL) and associate this event with individuals' clinical and sociodemographic characteristics.
We investigated the clinical and demographic aspects of stroke patients. The Modified Rankin Scale, National Institutes of Health Stroke Scale (NIHSS) and the Stroke Specific Quality of Life Scale (SS-QoL) were used for correlation analysis.
Among 131 patients with ischemic stroke, 53.4% of patients presented with moderate to severe disability on the Rankin Scale. According to the SS-QoL, several QoL domains were compromised. QoL was significantly negatively correlated with the values of the Rankin and NIHSS scales, indicating lower QoL among people with worse functional status and greater clinical severity of stroke (p<0.001). The use of orthosis and total anterior circulation infarct subtype of stroke led to a more marked reduction in QoL.
The present study described an inversely proportional relationship between the severity of stroke, disability and QoL. The use of orthosis also had a negative impact on QoL. Early identification of these factors could promote better interventions for individuals with ischemic stroke, minimizing disabilities and improving QoL.
本研究旨在分析缺血性中风对健康相关生活质量(QoL)的影响,并将该事件与个体的临床和社会人口学特征相关联。
我们调查了中风患者的临床和人口统计学方面。采用改良Rankin量表、美国国立卫生研究院卒中量表(NIHSS)和卒中特异性生活质量量表(SS-QoL)进行相关性分析。
在131例缺血性中风患者中,53.4%的患者在Rankin量表上表现为中度至重度残疾。根据SS-QoL,几个生活质量领域受到损害。生活质量与Rankin量表和NIHSS量表的值显著负相关,表明功能状态较差和中风临床严重程度较高的人群生活质量较低(p<0.001)。使用矫形器和全前循环梗死亚型的中风导致生活质量下降更为明显。
本研究描述了中风严重程度、残疾与生活质量之间的反比关系。使用矫形器也对生活质量有负面影响。早期识别这些因素可以促进对缺血性中风患者的更好干预,最大限度地减少残疾并提高生活质量。