Lebanese University, Faculty of Pharmacy, Hadath, Lebanon.
Lebanese University, Faculty of Pharmacy, Hadath, Lebanon; Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Faculty of Public Health, Lebanese University, Beirut, Lebanon.
Rev Neurol (Paris). 2021 Jan-Feb;177(1-2):124-131. doi: 10.1016/j.neurol.2020.03.026. Epub 2020 Jul 8.
BACKGROUND/OBJECTIVE: Stroke symptoms in the absence of diagnosed stroke are common worldwide and associated with stroke risk factors and great impact on the physical and mental health functioning. The aim of this study was to assess, at the national level, the association of stroke symptoms with mental and physical health.
Quality of life was assessed using physical and mental component summary scores (PCS and MCS) of the Short Form 12v2 Health Survey in the Lebanese population. We assessed the differences in the mean PCS and MCS scores among asymptomatic individuals with no stroke/transient ischemic attack (TIA) history (n=1167), symptomatic individuals with no stroke/TIA history (n=125) and those with stroke/TIA history (n=46). Psychometric properties of the Lebanese version of the SF- 12v2 were evaluated using principal component analysis.
Symptomatic individuals had an average PCS scores of 2.31 (95%CI: 0.75-3.88) points lower and those with stroke/TIA history had 3.26 (95%CI: 1.01-5.51) points lower when compared with asymptomatic individuals with no stroke/TIA history. Similarly, MCS scores for symptomatic individuals were 2.58 (95%CI: 1.02-4.13) points lower and those with stroke/TIA history had 3.28 (95%CI: 1.06-5.50) points lower than asymptomatic individuals.
Physical and mental health functioning declined among symptomatic individuals and those with stroke/TIA history. Thus, frequent monitoring for the early detection of stroke symptoms may be recommended.
背景/目的:全球范围内,无症状性卒中(即没有明确诊断为卒中的卒中症状)较为常见,与卒中危险因素相关,并对身心健康功能有重大影响。本研究旨在评估全国范围内卒中症状与身心健康之间的关联。
采用简化健康调查 12 项量表(SF-12v2)的身体和精神成分综合评分(PCS 和 MCS)评估生活质量。我们评估了无卒中/短暂性脑缺血发作(TIA)病史的无症状个体(n=1167)、无卒中/TIA 病史的有症状个体(n=125)和有卒中/TIA 病史的个体(n=46)之间平均 PCS 和 MCS 评分的差异。使用主成分分析法评估黎巴嫩版 SF-12v2 的心理计量学特性。
与无卒中/TIA 病史的无症状个体相比,有症状个体的平均 PCS 评分低 2.31 分(95%CI:0.75-3.88),有卒中/TIA 病史的个体低 3.26 分(95%CI:1.01-5.51)。同样,有症状个体的 MCS 评分低 2.58 分(95%CI:1.02-4.13),有卒中/TIA 病史的个体低 3.28 分(95%CI:1.06-5.50)。
有症状个体和有卒中/TIA 病史的个体身心健康功能下降。因此,建议频繁监测以早期发现卒中症状。