School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning Province, China.
Key Laboratory of Ministry of Education for Traditional Chinese Medicine Viscera-State Theory and Applications, Liaoning University of Traditional Chinese Medicine, Shenyang, China.
Sci Rep. 2021 May 13;11(1):10277. doi: 10.1038/s41598-021-89746-8.
Patients with stroke are likely to experience impaired health-related quality of life (QOL), especially during the COVID-19 pandemic. This study aimed to evaluate the QOL of Chinese patients with stroke during the pandemic and explore the associated variables. A matched-pair, multicenter survey was conducted before and during the COVID-19 pandemic. Questionnaires including the 36-item Short-Form Health Survey (SF-36), the Activities of Daily Living (ADL) scale, and the Questionnaire about the Process of Recovery (QPR) were used. A total of 172 matched pairs (344 patients) were recruited in this study. Hierarchical multiple regression analysis was performed to analyze variables associated with QOL. Physical and mental component scores (PCS and MCS) were higher among the stroke patients during the pandemic (44.20 ± 18.92 and 54.24 ± 19.08) than before the pandemic (37.98 ± 14.52 and 43.50 ± 20.94). Pandemic stress, demographic and clinical characteristics were negative variables associated with PCS and MCS. QPR was positively associated with PCS and MCS. The QOL of Chinese stroke patients was higher during than before the COVID-19 pandemic. Pandemic stress aggravated stroke patients' QOL, while personal recovery could alleviate the detrimental effect of pandemic stress on QOL for stroke patients.
患有中风的患者可能会经历健康相关生活质量（QOL）受损，尤其是在 COVID-19 大流行期间。本研究旨在评估 COVID-19 大流行期间中国中风患者的 QOL，并探讨相关变量。在 COVID-19 大流行之前和期间进行了配对、多中心调查。使用了包括 36 项简短健康调查（SF-36）、日常生活活动（ADL）量表和康复过程问卷（QPR）在内的问卷。本研究共招募了 172 对匹配（344 名患者）。采用分层多元回归分析来分析与 QOL 相关的变量。与大流行前相比，大流行期间中风患者的身体和心理成分评分（PCS 和 MCS）更高（44.20±18.92 和 54.24±19.08）（37.98±14.52 和 43.50±20.94）。大流行压力、人口统计学和临床特征是与 PCS 和 MCS 呈负相关的变量。QPR 与 PCS 和 MCS 呈正相关。与 COVID-19 大流行之前相比，中国中风患者的 QOL 更高。大流行压力加重了中风患者的 QOL，而个人康复可以减轻大流行压力对中风患者 QOL 的不利影响。
