CAJ | 학술논문

目的：了解创伤性颅脑损伤患者出院后的生命质量状况及其影响因素。方法通过电话对重庆北碚区中医院神经外科出院的、符合条件的148例创伤性颅脑损伤患者，使用世界卫生组织健康相关生命质量测定量表简表开展问卷调查，获得有效问卷116份。结果该院创伤性颅脑损伤患者的生命质量在生理、心理、社会关系、环境等领域百分制得分分别为（69．37±17．46）、（59．16±14．47）、（54．17±14．64）、（49．33±18．33）分。多元逐步回归分析结果显示，年龄、居住地、脑外伤分型是颅脑损伤患者生命质量的危险因素，格拉斯哥预后（GOS）评分、学历、出院间隔时间是保护因素（P＜0．05）。结论该院创伤性颅脑损伤患者出院后的生命质量低于国内一般人。患者的年龄、居住地、受教育程度，脑外伤分型、GOS评分、出院时间长短是其主要影响因素。
목적：료해창상성로뇌손상환자출원후적생명질량상황급기영향인소。방법통과전화대중경북배구중의원신경외과출원적、부합조건적148례창상성로뇌손상환자，사용세계위생조직건강상관생명질량측정량표간표개전문권조사，획득유효문권116빈。결과해원창상성로뇌손상환자적생명질량재생리、심리、사회관계、배경등영역백분제득분분별위（69．37±17．46）、（59．16±14．47）、（54．17±14．64）、（49．33±18．33）분。다원축보회귀분석결과현시，년령、거주지、뇌외상분형시로뇌손상환자생명질량적위험인소，격랍사가예후（GOS）평분、학력、출원간격시간시보호인소（P＜0．05）。결론해원창상성로뇌손상환자출원후적생명질량저우국내일반인。환자적년령、거주지、수교육정도，뇌외상분형、GOS평분、출원시간장단시기주요영향인소。
Objective To study the quality of life(QOL) and its associated factors in patients with traumatic brain injury (TBI) . Methods The 148 TBI patients treated and discharged from department of neurosurgery Chongqing beibei district people′s hospital were selected out and involved in the investigation .the World Health Organization health-related QOL BREF (WHOQOL-BREF) was used to investigate the QOL .116 valid questionnaires were obtained .Results The scores of physiological ,psychological ,social relationship ,environment domains of QOL among the patients with TBI were (69 .37 ± 17 .46) ,(59 .16 ± 14 .47) ,(54 .17 ± 14 .64) , (49 .33 ± 18 .33)scores .Multiple stepwise regression analysis results showed that ,age ,place of residence ,brain injury parting were risk factors for brain injury patient's quality of life ,GOS scores ,degree ,discharge time interval were protect factors (P< 0 .05) . Conclusion The QOL of the patient with TBI discharged from the hospital was lower than the domestic general population .The patient′s age ,residence ,educational level ,the type of TBI ,GOS score ,the time to discharges were the main influencing factors .