CAJ | 학술논문

目的：通过研究脑卒中患者生活质量状况及其影响因素，探索卒中后抑郁及焦虑状态的严重程度与脑卒中患者生存质量的相关性，为降低卒中人群社会医疗负担提供依据。方法对哈尔滨医科大学附属第一医院2013年5月至2014年2月急性脑卒中住院患者进行登记调查，病历资料采集。在基线期[（14±3）d]完善脑卒中生存质量专用量表，并在1、3、6个月进行随访。所有数据采用EXCEL和SPSS 19.0统计软件对其进行处理分析，P＜0.05为差异有统计学意义。结果共调查109例急性卒中患者，共104例完成随访。随着时间延长，脑卒中患者日常生活能力渐恢复，生存质量逐渐提高（ P＜0.01）；性别、年龄、收入、文化程度、社会支持程度与脑卒中患者生存质量显著相关（ P＜0.01）；卒中急性期及发病1个月内卒中后抑郁发病率最高，卒中后抑郁影响脑卒中患者生存质量（ P＜0.05）。结论卒中后活动能力的恢复可提高卒中患者生活质量。早期干预、积极治疗卒中后抑郁可促进神经功能恢复。
목적：통과연구뇌졸중환자생활질량상황급기영향인소，탐색졸중후억욱급초필상태적엄중정도여뇌졸중환자생존질량적상관성，위강저졸중인군사회의료부담제공의거。방법대합이빈의과대학부속제일의원2013년5월지2014년2월급성뇌졸중주원환자진행등기조사，병력자료채집。재기선기[（14±3）d]완선뇌졸중생존질량전용량표，병재1、3、6개월진행수방。소유수거채용EXCEL화SPSS 19.0통계연건대기진행처리분석，P＜0.05위차이유통계학의의。결과공조사109례급성졸중환자，공104례완성수방。수착시간연장，뇌졸중환자일상생활능력점회복，생존질량축점제고（ P＜0.01）；성별、년령、수입、문화정도、사회지지정도여뇌졸중환자생존질량현저상관（ P＜0.01）；졸중급성기급발병1개월내졸중후억욱발병솔최고，졸중후억욱영향뇌졸중환자생존질량（ P＜0.05）。결론졸중후활동능력적회복가제고졸중환자생활질량。조기간예、적겁치료졸중후억욱가촉진신경공능회복。
Objective To explore factors that affect the quality of life ,and find out its influencing factors,ultimately, to provide the evidence for reducing the burden of social health of stroke survivors . Methods The hospitalized patients suffered with acute stroke on May 2013 to February 2014 in First Affiliated Hospital of Harbin Medical University were selected .General information was consummated .Special quality of life scale of stroke and basic information were investigated at baseline [(14 ±3)days],and in 1, 3,6 months follow-up.All data were analyzed by EXCEL and SPSS 19.0, P <0.05 was considered statistically significant .Results Total of 109 cases of acute stroke patients were enrolled , 104 patients completed followu-p .Quality of life was gradually increased with prolonged ( P <0.01 ) .Quality of life of stroke survivors was associated with gender , age, income, education, and social support significantly ( P <0.01 ) .The maximum incidence of depression was one month after onset of stroke ( P<0.05) .Conclusion Better recovery after stroke can improve the quality of life .Early intervention, aggressive treatment ofdepression after stroke may promote recovery of neurological function .