在中风的早期阶段,病人的生活质量受损有多大?

A. Jovanović, Miroslav Ušjak, Jelena Niković, R. Pejin, S. Tomić
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引用次数: 0

摘要

简介:中风是成人残疾的主要原因之一,当然也是神经残疾的最重要的单一原因。目的:从个体、家庭、职业、社会生活等方面分析脑卒中患者的身心状况及社交能力,了解脑卒中患者的生活质量。方法:本研究为前瞻性研究。样本包括20名在伏伊伏丁那临床中心医疗康复诊所接受治疗的中风患者(实验组)和非中风患者(对照组)。采用美国国立卫生研究院卒中量表(NIHSS)、改良Bartel指数、Rankin量表(mRS)和简易精神状态测试(MMSE)评估神经状态、功能和认知状态。此外,采用SF-36简易健康问卷和脑卒中影响量表(SIS)评估生活质量。结果:脑卒中患者与非脑卒中患者相比,在SIS的所有领域和总分上均存在统计学差异。最显著的差异是在残疾、手臂和日常活动方面。在沟通、记忆和情感方面,发现了细微的差异,但在统计上仍然显著。结论:脑卒中后患者生活质量明显下降,身体功能受影响最大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How much is the patient's quality of life impaired in the early stages of stroke?
Introduction: Stroke is one of the leading causes of adult disability and certainly the most significant single cause of neurological disability. Aim: To examine the quality of life of patients after a stroke by analyzing the physical and mental condition, as well as social skills from the aspect of individual, family, professional and life on the broader community. Methodology: The research is designed as a prospective study. The sample consisted of 20 patients with stroke (experimental group) and patients without stroke (control group), treated at the Clinic for Medical Rehabilitation of the Clinical Center of Vojvodina. The National Institute of Health Stroke Scale (NIHSS), the Modified Bartel Index, the Rankin Scale (mRS) and the Mini-Mental State Exam (MMSE) were used to assess neurological status, functional and cognitive status. In addition, the SF-36 Short Form Health Questionnaire and the Stroke Impact Scale (SIS) were used to assess the quality of life. Results: In all domains of SIS and the overall score, statistically significant differences were found between patients with stroke, compared to those without. The most significant differences were found in handicap, arm, and daily activities. The minor differences, but still statistically significant, were found in communication, memory, and emotions. Conclusion: Patients' quality of life after a stroke is significantly impaired, and physical functioning is most affected.
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