急性脑卒中患者的生活质量及其影响因素-运动医学专业论文.docxVIP

安徽医科大学硕士学位论文急性脑卒中患者的生活质量及其影响因素 安徽医科大学硕士学位论文 急性脑卒中患者的生活质量及其影响因素 本课题由国家“+五”攻关项目基金资助．项目编号2001BA703821 研究生 李厥宝 导师 倪朝民 教授 (安徽医科大学第一附属医院康复医学科合肥， 230022) 摘 要 目的了解对脑卒中患者的生活质量及其影响因素。方法将80例脑卒中偏瘫 患者随机分成康复组(40例)和对照组(40例)，进行I临床对照研究，两组均常 规进行神经内科的药物治疗，康复组增加运动疗法、言语治疗等现代康复治疗方 法，对每例患者在进入课题时和6个月后分别利用世界卫生组织生活质量评定量 表简表(WHOQOL．BEEF)中文版，Barthel Index(BI)对其生活质量(QOL)、日常 生活活动能力(ADL)进行评定，比较分析影响生活质量的影响因素。结果(1) ，康复组两次生活质量评分分别为59．85±12．14、76．66±13．62，对照组为59．87± 11．45、69．75±10．19；两组前后比较均有显著性差异(pO．05)；两组变化均数比较 康复组6个月后的QOL恢复优于对照组(p0．05)；利用Pearson相关检验QOL的 改善程度与ADL的改善程度成正相关。(2)利用logestic回归检验影响生活质量 的主要因素为年龄、发病到治疗的时间、职业、早期康复治疗以及婚姻状况。结 论早期康复治疗有利于改善脑卒中患者的生活质量和日常生活活动能力。 关键词 康复／脑卒中／生活质量／日常生活活动能力 安徽医科大学硕士学位论文Study 安徽医科大学硕士学位论文 Study of the Quality of Life of Survivals ofAcute Stroke and its Influencing Factors Abstract Objective To investigate the status ofthe quality oflife(QOL)and its influencing factors among acute stroke survivals。Methods 80 hemipaligic patients who suffered from acute stroke were randomly divided into two groupes：40 cases in the early rehabilitation group，40 CaSeS in the control group．Patients in the rehabilitation group were given clinical treatment electrical stimulation therapy and regularly physical therapy and speech therapy and SO on．While those in control group were given clinical treatment，and the evaluation WaS done in tare—treatment and post 6 months respectively．QOL was assessed with WHO-BEEF questionnaire of Chinese version，Activity ofdaily life(ADL)WaS assessed with Banhel Index(BI)．Result(1) The QOL SCOreS and BI scores in each groups rised had a significant difference (pO．05)，the process of scores in the rehabilitation group were obviously superior to that in the control group(2)The main factors influencing the quality of life include age dob， early rehabilitation，marry．and the time from onset to the beginning of ueatment． Conclusion Early rehabilitation training on hemiplegias after spoke may obviously improve QOL scores． Key words stroke／rehabilitation／quality of life／