高血压性脑卒中患者日常生活活动能力与生存质量的关系

目的探讨高血压性脑卒中患者日常生活活动能力与生存质量的关系。方法选取2016年6月至2018年10月在本院门诊或住院部就诊的原发性高血压合并脑卒中患者232例。收集患者人口学特征,使用Barthel指数评定量表评估患者的日常生活活动能力,使用简明健康状况调查表(SF-36)评估患者的生存质量。结果年龄<60岁的患者日常生活活动能力得分为(80.93±17.11),明显高于M60岁患者的(72.76±15.08),差异有统计学意义(P<0.05);不同受教育程度和月收入患者的日常生活活动能力和总体健康水平之间比较差异均有统计学意义(均P<0.05)。脑力劳动者和医保患者的日常生活活动能力和总体健康水平明显高于体力劳动者和自费患者,差异均有统计学意义(均P<0.05)。Pearson相关性分析显示,日常生活活动能力与总体健康、生理功能、情感功能、生理职能、躯体疼痛、精神健康及活力呈正相关(均P<0.05),与社会功能无明显相关性(P>0.05)。多元逐步回归分析显示,受教育程度、职业类型、医保类型、月收入是患者日常生活活动能力和总体健康水平的独立影响因素(均P<0.05)。结论髙血压性脑卒中患者日常生活活动能力和生存质量均偏低,应针对受教育程度、职业类型、医保类型及月收入不同的患者制订针对性干预措施。

The relationship between activities of daily living and quality of life in patients with hypertensive stroke

Objective To explore the relationship between activities of daily living(ADL)and quality of life(QOL)in patients with hypertensive stroke.Methods From June 2016 to October 2018,232 patients with essential hypertension and stroke were selected.The demographic characteristics of the patients were collected.The activities of daily living were assessed by Barthel Index Scale,and the quality of life was assessed by Concise Health Status Questionnaire(SF-36).Results The activities of daily living of patients aged less than 60 years were significantly higher than those aged more than 60 years(P<0.05);the scores of activities of daily living and general health level of patients with different educational level and monthly income were significantly different(P<0.05),among which college students and above and monthly income were more than 4000.The activity of daily living and general health level of the patients in Yuan Dynasty were significantly higher than those in Yuan Dynasty.The activities of daily living and overall health level of mental workers and medical insurance patients were significantly higher than those of manual workers and self-paid patients,with statistical significance(P<0.05).Pearson correlation analysis showed that activities of daily living were positively correlated with general health,physiological function,emotional function,physiological function,physical pain,mental health and vitality,but not with social function.Multivariate stepwise regression analysis showed that education level,occupational type,medical insurance type and monthly income were independent influencing factors of patientsMaily living ability and quality of life.Conclusion The activities of daily living and quality of life of patients with hypertensive stroke are low,and there is a positive correlation between them.Targeted interventions should be formulated according to education level,occupational type,medical insurance type and monthly income.