CAJ | 학술논문

目的：探讨脑梗死患者健康功能损失情况以及影响因素。方法对188例急性期脑卒中患者进行调查，采用自制量表对患者一般资料进行调查，疾病影响程度量表对患者健康功能损失进行调查，并分析影响患者健康功能损失程度的相关因素。结果娱乐消遣维度得分最高为（68．8±13．7）分，其次为家务管理为（53．1±15．4）分，躯体功能得分（45．2±11．5）位于第3位，并且以肢体的灵活性得分最高为（59．0±12．4）分；饮食及社会心理功能得分较低为（23．2±6．3）分及（25．6±6．8）分。总体健康功能损失得分为（35．7±10．1）分。年龄＞70岁、文盲及小学文化、未婚、吸烟、性格为内向、病变部位位于脑叶、肌力4级及以下的患者健康功能损失程度较严重（P＜0．05或P＜0．01）。多因素分析结果显示吸烟是危险因素，家庭支持、肌力、腔隙性脑梗死为保护因素。结论脑梗死患者健康功能损失程度整体较高，其中娱乐消遣维度以及家务管理维度的得分最高，躯体功能维度中以肢体灵活性得分较高。吸烟是危险因素，家庭支持、肌力、腔隙性脑梗死为保护因素。在临床护理中，应给予相应的护理，改善患者的生活质量。
목적：탐토뇌경사환자건강공능손실정황이급영향인소。방법대188례급성기뇌졸중환자진행조사，채용자제량표대환자일반자료진행조사，질병영향정도량표대환자건강공능손실진행조사，병분석영향환자건강공능손실정도적상관인소。결과오악소견유도득분최고위（68．8±13．7）분，기차위가무관리위（53．1±15．4）분，구체공능득분（45．2±11．5）위우제3위，병차이지체적령활성득분최고위（59．0±12．4）분；음식급사회심리공능득분교저위（23．2±6．3）분급（25．6±6．8）분。총체건강공능손실득분위（35．7±10．1）분。년령＞70세、문맹급소학문화、미혼、흡연、성격위내향、병변부위위우뇌협、기력4급급이하적환자건강공능손실정도교엄중（P＜0．05혹P＜0．01）。다인소분석결과현시흡연시위험인소，가정지지、기력、강극성뇌경사위보호인소。결론뇌경사환자건강공능손실정도정체교고，기중오악소견유도이급가무관리유도적득분최고，구체공능유도중이지체령활성득분교고。흡연시위험인소，가정지지、기력、강극성뇌경사위보호인소。재림상호리중，응급여상응적호리，개선환자적생활질량。
Objective To analyze extent of damage and influence factors of healthy function of patients with cerebral infarction. Methods A total of 188 cases of patients with acute period of cerebral apoplexy were surveyed, and the gen-eral information of patients were surveyed by self-made scale. The damage of healthy function was surveyed by disease severity extent scale, and the related factors of healthy function damage patients were analyzed. Results The highest dimensionality score was entertaining (68.8±13.7) scores, the second was housekeeping (53.1±15.4) scores, the third was body movement (45.2±11.5) scores, in which highest score was body flexibility (59.0±12.4) scores; The lowest was diet and social psychology function (23.2±6.3) and (25.6±6.8). The total healthy function damage score was (35.7±10.1). Healthy Function of pa tients aged more than 70 years, illiterate and with primary school education, non-marital, smoking , introverted , diseased region located at lobe of brain and animal force was level 4 or below decreased more (P<0.05 or P<0.01). Multiple factors analysis showed smoking was a risk factor, and family support, muscle strength, lacunar cerebral infarction to protect factors. Conclusion The extent of damage healthy function of patients with cere-bral infarction is high, in which the scores of entertaining and housekeeping dimensionality are the highest, and the body flexibility score of body movement function dimensionality is the highest. Smoking is the dangerous factor, and family support, animal force and lacunar infarction are protection factors. The relevant nursing shall be given and the life quality of patients shall be improve in the clinical nursing.