CAJ | 학술논문

目的：探讨脑卒中后焦虑（PSA）患者健康相关生存质量（HRQOL）及其相关因素。方法：对317例不同临床类型缺血性脑卒中患者进行临床神经功能缺损程度、脑卒中专门化生存质量量表（SS-QOL）评分，对符合 PSA 诊断的患者进行 Hamilton 焦虑量表评分；分析与 HRQOL 相关的因素。结果：PSA 发生率为45.11±（143例）；不同卒中类型患者 PSA 发生率差异无统计学意义，SS-QOL 评分由低到高依次为完全前循环梗死型、部分前循环梗死型、后循环梗死型及腔隙性梗死型，各型间差异有统计学意义（P ﹤0.05）。除语言因子外，PSA 组 SS-QOL 总分及其他各因子明显低非 PSA 组（P ﹤0.05或0.01）；焦虑程度重、女性、﹤60岁、未婚或丧偶、高中以上文化程度、家庭月收入﹤2000元、神经功能缺损程度重和住院期间由护工照顾与 HRQOL 呈相关性。结论：PSA 发生率较高，性别、年龄、婚姻状况、文化程度、家庭月收入、神经功能缺损程度、照顾者及焦虑程度是影响 PSA 患者 HRQOL 的因素。
목적：탐토뇌졸중후초필（PSA）환자건강상관생존질량（HRQOL）급기상관인소。방법：대317례불동림상류형결혈성뇌졸중환자진행림상신경공능결손정도、뇌졸중전문화생존질량량표（SS-QOL）평분，대부합 PSA 진단적환자진행 Hamilton 초필량표평분；분석여 HRQOL 상관적인소。결과：PSA 발생솔위45.11±（143례）；불동졸중류형환자 PSA 발생솔차이무통계학의의，SS-QOL 평분유저도고의차위완전전순배경사형、부분전순배경사형、후순배경사형급강극성경사형，각형간차이유통계학의의（P ﹤0.05）。제어언인자외，PSA 조 SS-QOL 총분급기타각인자명현저비 PSA 조（P ﹤0.05혹0.01）；초필정도중、녀성、﹤60세、미혼혹상우、고중이상문화정도、가정월수입﹤2000원、신경공능결손정도중화주원기간유호공조고여 HRQOL 정상관성。결론：PSA 발생솔교고，성별、년령、혼인상황、문화정도、가정월수입、신경공능결손정도、조고자급초필정도시영향 PSA 환자 HRQOL 적인소。
To investigate the health-related quality of life(HRQOL)and its influence fac-tors in patients with post-stroke anxiety(PSA). Method:Three hundred and seventeen patients with differ-ent clinical types ischemic stroke were assessed by the egree of clinical neural function defect scale and stroke-specific quality of life(SS-QOL)scale. The patients conformed PSA diagnostic criteria were evaluated by Ham-ilton anxiety scale. The associated factors of HRQOL were analyzed. Results:The PSA incidence among those patients was 45. 11±(143 cases),which among the different types of stroke was not significantly different. The scores from low to high were anterior circulation infarct,partial anterior circulation infarct,posterior circulation infarction and lacunar infarction and which had significant differences among the different types of stroke(P ﹤0. 05). In addition to the language factor,total score and each factor score of SS-QOL in PSA patients were sig-nificantly lower than those inpatients with non-PSA(P ﹤ 0. 05 or P ﹤ 0. 01). The severe anxiety,female,﹤ 60 years old,unmarried or widowed,high school or higher education level,family income ﹤ 2000 yuan/ month,se-vere degree of neurological impairment,with workers care during hospitalization were the negative factors of HRQOL for the PSA patients. Conclusion:The PSA incidence is higher in patients with ischemic stroke. Gender,age,marital status,education level,family income,degree of neurological deficit,carers and anxiety are the influence factors of HRQOL in PSA patients.