CAJ | 학술논문

目的:探讨脑动脉瘤手术患者生活质量影响因素,旨在为针对性改善患者的生活质量提供参考依据.方法:采用自编问卷、抑郁自评量表(SDS)、焦虑自评量表(SAS)、社会支持评定量表(SSRS)和SF-36量表对2010年7月至2012年7月在我院神经外科住院治疗的36例脑动脉瘤手术患者进行测评,同时选择36例年龄与脑动脉瘤手术患者相匹配的正常人为对照组,应用统计学方法分析脑动脉瘤手术患者生活质量和影响因素.结果:脑动脉瘤手术患者的SF-36量表中各维度指标得分均明显低于年龄与脑动脉瘤手术患者相匹配的正常人,差异有统计学意义(P<0.05),多元逐步回归分析发现:文化程度、患者对疾病了解程度、主观支持分和社会支持评定量表总分与脑动脉瘤手术患者生活质量正相关,而Fisher's分级、Hunt-Hess分级、术后并发症、焦虑抑郁情绪与脑动脉瘤手术患者生活质量负相关.结论:脑动脉瘤手术患者的生活质量较低,受很多因素影响,我们在临床工作中要采取针对性的干预措施,改善患者的生活质量.
목적:탐토뇌동맥류수술환자생활질량영향인소,지재위침대성개선환자적생활질량제공삼고의거.방법:채용자편문권、억욱자평량표(SDS)、초필자평량표(SAS)、사회지지평정량표(SSRS)화SF-36량표대2010년7월지2012년7월재아원신경외과주원치료적36례뇌동맥류수술환자진행측평,동시선택36례년령여뇌동맥류수술환자상필배적정상인위대조조,응용통계학방법분석뇌동맥류수술환자생활질량화영향인소.결과:뇌동맥류수술환자적SF-36량표중각유도지표득분균명현저우년령여뇌동맥류수술환자상필배적정상인,차이유통계학의의(P<0.05),다원축보회귀분석발현:문화정도、환자대질병료해정도、주관지지분화사회지지평정량표총분여뇌동맥류수술환자생활질량정상관,이Fisher's분급、Hunt-Hess분급、술후병발증、초필억욱정서여뇌동맥류수술환자생활질량부상관.결론:뇌동맥류수술환자적생활질량교저,수흔다인소영향,아문재림상공작중요채취침대성적간예조시,개선환자적생활질량.
@@@@Objective:To investigate the cerebral aneurysm surgery patients quality of life impact factors, aims to improve the quality of life of patients targeted to provide a reference.Methods:using self questionnaire, the Self-Rating Depression Scale (SDS), anxiety self-rating scale (SAS), Social Support Rating Scale (SSRS) and SF-36 scale in my July 2010 to July 2012 the hospital neurosurgery hospital treatment of 36 cases of cerebral aneurysm surgery patients, evaluation, and select 36 cases of age with cerebral aneurysm surgery patients matched healthy control group, the application of statistical analysis of the quality of life of patients with cerebral aneurysm surgery and impact factors.Results:Indicators of each dimension of the SF-36 scale of the cerebral aneurysm surgery patients score significantly lower than matched healthy age with cerebral aneurysm surgery patients,the difference was statistically significant (P<0.05),stepwise multiple regression analysis found:level of education,patient understanding of disease,subjective support points and the social Support Rating Scale total score and cerebral aneurysm surgery quality of life in patients with positive correlation,and Fisher’s classification,Hunt-Hess grading, postoperative complications,anxiety and depression emotional and cerebral aneurysm surgery quality of life in patients with negative correlation.Conclusion:cerebral aneurysm surgery in patients with a lower quality of life, affected by many factors, in clinical work to take targeted interventions to improve the quality of life of patients.