{"title":"老年脑卒中患者出院时临床特征与生活质量的关系","authors":"Saisamorn Chaleoykitti, Werayuth Srithumsuk, Saitip Jaipong, Pinthusorn Pattayakorn, Kattiya Podimuang","doi":"10.4236/aar.2020.94006","DOIUrl":null,"url":null,"abstract":"Objective: The number of people with stroke increases \nworldwide. The stroke survivors live with disabilities and those influence \ntheir quality of life (QOL). This study was aimed to investigate the \nassociation between clinical characteristics and QOL of the older people with stroke at discharge \nfrom the hospital. Methods: This is a cross-sectional study. The participants \nwere 113 stroke survivors aged 60 years and older admitted to the stroke unit. \nQuality of life was the study’s outcome which measured by using the abbreviated \nversion of the World Health \nOrganization Quality of Life (WHOQOL-BREF). Primary clinical characteristics \nwere measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified \nRankin Scale (mRS). Potential confounding \nfactors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension, \ndiabetes mellitus, dyslipidemia, and \nheart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant \ndifference association with QOL (β = 0.312, \n95% CI = 0.042, 0.296, P = 0.009), \nlower mRS score also had significant difference association with QOL (β= -0.371, 95%CI = LJ.394, ǃ.162, P = 0.003) after all adjusting. Additional risk factor in this study was \nmarital status (currently married) (β= 0.155, \n95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical \ncharacteristics were associated with QOL in older people with stroke at \nhospital discharge. An additional factor was marital status (currently married).","PeriodicalId":56467,"journal":{"name":"老年问题研究(英文)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":"{\"title\":\"Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge\",\"authors\":\"Saisamorn Chaleoykitti, Werayuth Srithumsuk, Saitip Jaipong, Pinthusorn Pattayakorn, Kattiya Podimuang\",\"doi\":\"10.4236/aar.2020.94006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: The number of people with stroke increases \\nworldwide. The stroke survivors live with disabilities and those influence \\ntheir quality of life (QOL). This study was aimed to investigate the \\nassociation between clinical characteristics and QOL of the older people with stroke at discharge \\nfrom the hospital. Methods: This is a cross-sectional study. The participants \\nwere 113 stroke survivors aged 60 years and older admitted to the stroke unit. \\nQuality of life was the study’s outcome which measured by using the abbreviated \\nversion of the World Health \\nOrganization Quality of Life (WHOQOL-BREF). Primary clinical characteristics \\nwere measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified \\nRankin Scale (mRS). Potential confounding \\nfactors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension, \\ndiabetes mellitus, dyslipidemia, and \\nheart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant \\ndifference association with QOL (β = 0.312, \\n95% CI = 0.042, 0.296, P = 0.009), \\nlower mRS score also had significant difference association with QOL (β= -0.371, 95%CI = LJ.394, ǃ.162, P = 0.003) after all adjusting. Additional risk factor in this study was \\nmarital status (currently married) (β= 0.155, \\n95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical \\ncharacteristics were associated with QOL in older people with stroke at \\nhospital discharge. 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引用次数: 2
摘要
目的:世界范围内卒中患者的数量在增加。中风幸存者生活在残疾中,这些残疾影响了他们的生活质量(QOL)。本研究旨在探讨老年脑卒中患者出院时临床特征与生活质量的关系。方法:这是一个横断面研究。参与者是113名60岁及以上的中风幸存者,他们住进了中风病房。生活质量是研究的结果,使用世界卫生组织生活质量(WHOQOL-BREF)的缩写版本来衡量。主要临床特征采用美国国立卫生研究院卒中量表(NIHSS)、Barthel指数(BI)和改良Rankin量表(mRS)进行测量。潜在的混杂因素包括年龄、性别、教育水平、婚姻状况、当前职业和合并症(高血压、糖尿病、血脂异常和心脏病)。采用多元线性回归进行数据分析。结果:主要临床结果为高BI评分与生活质量有显著相关性(β= 0.312, 95%CI = 0.042, 0.296, P = 0.009),低mRS评分与生活质量也有显著相关性(β= -0.371, 95%CI = LJ)。394年,ǃ。162, P = 0.003)。本研究的另一个危险因素是婚姻状况(已婚)(β= 0.155, 95% CI = 0.226, 8.666, P = 0.039)。结论:低功能状态和严重脑卒中残疾是老年脑卒中患者出院时生活质量的临床特征。另一个因素是婚姻状况(目前已婚)。
Association between Clinical Characteristics and Quality of Life in Older People with Stroke at Hospital Discharge
Objective: The number of people with stroke increases
worldwide. The stroke survivors live with disabilities and those influence
their quality of life (QOL). This study was aimed to investigate the
association between clinical characteristics and QOL of the older people with stroke at discharge
from the hospital. Methods: This is a cross-sectional study. The participants
were 113 stroke survivors aged 60 years and older admitted to the stroke unit.
Quality of life was the study’s outcome which measured by using the abbreviated
version of the World Health
Organization Quality of Life (WHOQOL-BREF). Primary clinical characteristics
were measured by the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), and Modified
Rankin Scale (mRS). Potential confounding
factors were age, sex, education levels, marital status, current occupation, and comorbidity (hypertension,
diabetes mellitus, dyslipidemia, and
heart disease). Multiple linear regression was used for data analysis. Results: The main effects of clinical outcomes were high BI Score that had a significant
difference association with QOL (β = 0.312,
95% CI = 0.042, 0.296, P = 0.009),
lower mRS score also had significant difference association with QOL (β= -0.371, 95%CI = LJ.394, ǃ.162, P = 0.003) after all adjusting. Additional risk factor in this study was
marital status (currently married) (β= 0.155,
95% CI = 0.226, 8.666, P = 0.039). Conclusion: Low function status and severe stroke disability as the clinical
characteristics were associated with QOL in older people with stroke at
hospital discharge. An additional factor was marital status (currently married).