缺血性脑卒中患者生活质量及其影响因素分析
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摘要
目的探讨长沙市三级甲等医院缺血性脑卒中患者生活质量的影响因素。方法采用问卷调查法对长沙市3所三级甲等医院210例缺血性脑卒中住院患者进行调查。结果缺血性脑卒中患者生活质量总分为(140.00±34.15)分,标准化得分为57.14%,处于中等水平。家庭人均月收入、伤残接受度量表中的价值观范围的扩大、身体形态的从属性和对比价值到固有价值的转变维度以及医学应对方式量表中的回避应对方式是影响生活质量的主要因素。结论缺血性脑卒中患者的生活质量处于中等水平,护理人员应加强对低收入患者的关注,提高患者的伤残接受水平,引导患者采取积极的应对方式,从而提高患者的生活质量。
Objective To investigate the factors affecting the quality of life in patients with ischemic stroke in 3 A-level hospitals in Changsha.Methods Questionnaires were used to investigate 210 inpatients of ischemic stroke in 3 A-level hospitals in Changsha.Results The total score of the quality of life in patients with ischemic stroke was(140.00±34.15),the standardized score was 57.14%,and it was at the middle level.The average monthly family income,expansion of the range of values,dependence of body shape and contrast value to inherent value change,and avoid were the main factors affecting the quality of life.Conclusion The quality of life of ischemic stroke patients is at a moderate level.Nurses should strengthen their attention to low-income patients,improve their disability acceptance level,and guide patients to adopt positive coping methods,so as to improve the quality of life of patients.
Objective To investigate the factors affecting the quality of life in patients with ischemic stroke in 3 A-level hospitals in Changsha.Methods Questionnaires were used to investigate 210 inpatients of ischemic stroke in 3 A-level hospitals in Changsha.Results The total score of the quality of life in patients with ischemic stroke was(140.00±34.15),the standardized score was 57.14%,and it was at the middle level.The average monthly family income,expansion of the range of values,dependence of body shape and contrast value to inherent value change,and avoid were the main factors affecting the quality of life.Conclusion The quality of life of ischemic stroke patients is at a moderate level.Nurses should strengthen their attention to low-income patients,improve their disability acceptance level,and guide patients to adopt positive coping methods,so as to improve the quality of life of patients.
引文
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[14]梁蝴蝶,李静,李晓静,等.首发脑卒中病人生活质量现状及其影响因素分析[J].护理研究,2012,26(16):1458-1461.DOI:10.3969/j.issn.1009-6493.2012.16.008.
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[17]沈勤,陈国伶,李玲,等.社区老年脑卒中患者生存质量及其影响因素的研究[J].护理管理杂志,2016,16(9):612-614.
[18]安宁,杨印东,杨晓帆,等.脑卒中患者抑郁和生活质量状况及其影响因素分析[J].医学综述,2015,21(24):4567-4569.DOI:10.3969/j.issn.1006-2084.2015.24.054.
[19]陈煌,黎蔚华,罗青,等.脑卒中康复护理实施现状及其影响因素的调查分析[J].护理管理杂志,2017,17(10):688-689.
[20]景颖颖,万婕,沈佳雯,等.脑卒中患者疾病不确定感及自我感受负担的相关性研究[J].护理管理杂志,2017,17(5):344-346.
[21]ZHANG T L,HU A L,XU H L,et al.Patients after colostomy:relationship between quality of life and acceptance of disability and social support[J].Chinese Medical Journal,2013,126(21):4124-4131.DOI:10.3760/cma.j.issn.0366-6999.20131160.
[22]柴倩文,原志芳,金奕,等.首发脑卒中患者残疾接受度及影响因素的研究[J].中华护理杂志,2016,51(1):34-39.DOI:10.3761/j.issn.0254-1769.2016.01.007.
[23]SIMMONS K L,SMITH J A,BOBB K A,et al.Adjustment to colostomy:stoma acceptance,stoma care self-efficacy and interpersonal relationships[J].Journal of Advanced Nursing,2007,60(6):627-657.DOI:10.1111/j.1365-2648.2007.04446.x.
[24]陈曦.住院脑卒中患者希望、应对方式与生活质量相关性的研究[D].太原:山西医科大学,2013.
[25]董霞,李红,程文蕾.细致化护理在改善缺血性卒中患者生存质量中的效果研究[J].中国医学创新,2017,14(23):95-98.DOI:10.3969/j.issn.1674-4985.2017.23.025.
[26]刘雅清,吴美华,邓燕萍,等.基于智谋概念的团体辅导对乳腺癌患者心理状况的影响[J].护理管理杂志,2016,16(11):817-819.
[2]中华人民共和国国家卫生和计划生育委员会.2012中国卫生统计年鉴[EB/OL].(2013-08-28)[2018-04-21].http://www.Nhfpc.gov.cn/html-files/zwgkzt/pljnj/year2012/index2012.html4.
[3]贾建平.神经病学[M].第8版.北京:人民卫生出版社,2015:175-188.
[4]杨燕.脑卒中患者恢复期生活质量影响因素的研究[D].太原:山西医科大学,2012.
[5]LUCAS-CARRASCO R.The WHO quality of life(WHO-QOL)questionnaire:spanish development and validation studies[J].Quality of Life Research,2012,21(1):161-165.DOI:10.1007/s11136-011-9926-3.
[6]张铁玲,胡爱玲,徐洪莲,等.结肠造口患者生活质量与残障接受度的相关性研究[J].中国实用护理杂志,2012,28(35):4-8.DOI:10.3760/cma.j.issn.1672-7088.2012.35.056.
[7]FERRIN J M,CHAN F,CHRONISTER J,et al.Psychometric validation of the Multidimensional Acceptance of Loss Scale[J].Clinical Rehabilitation,2011,25(2):166-174.DOI:10.1177/0269215510380836.
[8]SLOT K B,BERGE E,DORMAN P,et al.Impact of functional status at six months on long term survival in patients with ischaemic stroke:prospectivecohort studies[J].British Medical Journal,2008,336(7640):376-379.DOI:10.1136/bmj.39456.688333.
[9]LINDA W,MORRIS W,LISA H,et al.Development of a Stroke-Specific Quality of Life Scale[J].Stroke,1999,30(7):1362-1369.
[10]王拥军.脑血管病量表手册[M].北京:人民卫生出版社,2009:37-67.
[11]王伊龙,马建国,李军涛,等.脑卒中生存质量量表中译本信度和效度及敏感度的初步研究[J].中华老年心脑血管病杂志,2003,5(6):391-394.DOI:10.3969/j.issn.1009-0126.2003.06.010.
[12]陈妮.臂丛神经损伤患者伤残接受度和相关因素及其干预的研究[D].上海:复旦大学,2009.
[13]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):18-20.DOI:10.3760/cma.j.issn.1674-6554.2000.01.008.
[14]梁蝴蝶,李静,李晓静,等.首发脑卒中病人生活质量现状及其影响因素分析[J].护理研究,2012,26(16):1458-1461.DOI:10.3969/j.issn.1009-6493.2012.16.008.
[15]梁蝴蝶.首发脑卒中患者自我效能与生存质量的随访研究[D].济南:山东大学,2012.
[16]裘凤黔.黄浦区脑卒中流行状况与患者生命质量及影响因素研究[D].上海:复旦大学,2012.
[17]沈勤,陈国伶,李玲,等.社区老年脑卒中患者生存质量及其影响因素的研究[J].护理管理杂志,2016,16(9):612-614.
[18]安宁,杨印东,杨晓帆,等.脑卒中患者抑郁和生活质量状况及其影响因素分析[J].医学综述,2015,21(24):4567-4569.DOI:10.3969/j.issn.1006-2084.2015.24.054.
[19]陈煌,黎蔚华,罗青,等.脑卒中康复护理实施现状及其影响因素的调查分析[J].护理管理杂志,2017,17(10):688-689.
[20]景颖颖,万婕,沈佳雯,等.脑卒中患者疾病不确定感及自我感受负担的相关性研究[J].护理管理杂志,2017,17(5):344-346.
[21]ZHANG T L,HU A L,XU H L,et al.Patients after colostomy:relationship between quality of life and acceptance of disability and social support[J].Chinese Medical Journal,2013,126(21):4124-4131.DOI:10.3760/cma.j.issn.0366-6999.20131160.
[22]柴倩文,原志芳,金奕,等.首发脑卒中患者残疾接受度及影响因素的研究[J].中华护理杂志,2016,51(1):34-39.DOI:10.3761/j.issn.0254-1769.2016.01.007.
[23]SIMMONS K L,SMITH J A,BOBB K A,et al.Adjustment to colostomy:stoma acceptance,stoma care self-efficacy and interpersonal relationships[J].Journal of Advanced Nursing,2007,60(6):627-657.DOI:10.1111/j.1365-2648.2007.04446.x.
[24]陈曦.住院脑卒中患者希望、应对方式与生活质量相关性的研究[D].太原:山西医科大学,2013.
[25]董霞,李红,程文蕾.细致化护理在改善缺血性卒中患者生存质量中的效果研究[J].中国医学创新,2017,14(23):95-98.DOI:10.3969/j.issn.1674-4985.2017.23.025.
[26]刘雅清,吴美华,邓燕萍,等.基于智谋概念的团体辅导对乳腺癌患者心理状况的影响[J].护理管理杂志,2016,16(11):817-819.