摘要
目的探讨动脉瘤性蛛网膜下腔出血患者行弹簧圈栓塞术后生存质量及其影响生存质量的因素。方法采用世界卫生组织生活质量量表简表(WHOQOL-BREF)中文版量表对新乡医学院第一附属医院收治的120例行弹簧圈栓塞术的动脉瘤性蛛网膜下腔出血患者的生存质量进行问卷调查,并采用多重线性回归分析影响因素。结果动脉瘤性蛛网膜下腔出血患者行弹簧圈栓塞术后的生存质量评分男、女分别为(67.82±13.54)分、(58.54±11.03)分;年龄≤50岁和>50岁分别为(69.21±13.45)分、(57.57±11.23)分;动脉瘤≤7 mm和>7 mm分别为(68.12±7.76)分、(62.22±6.19)分;动脉瘤位于前循环和后循环分别为(68.33±4.92)分、(50.24±6.95)分;有并发症和无并发症的分别为(54.51±5.57)分、(65.67±4.73)分;单因素分析显示性别、年龄、动脉瘤的大小、动脉瘤位置、并发症与行弹簧圈栓塞术后的动脉瘤性蛛网膜下腔出血患者生存质量有关;而术后生存质量的影响因素的偏回归系数和标准偏回归系数中,年龄分别为-3.637和-0.437;动脉瘤位置为-6.353和-0.764;并发症为2.674和0.638。多因素回归分析显示动脉瘤位置、并发症、年龄是影响动脉瘤性蛛网膜下腔出血行弹簧圈栓塞术后生存质量的主要因素。结论动脉瘤位置、并发症、年龄是影响动脉瘤性蛛网膜下腔出血患者行弹簧圈栓塞术后生存质量的主要因素,在临床护理中通过对这些因素进行重点评估和针对性护理,可提高患者的生存质量。
Objective To study the relevant factors of postoperative life quality in patients embolized for aneurysmal subarachnoid hemorrhage. Methods One hundred and twenty cases of aneurysmal subarachnoid hemorrhage patients who were given coil embolization were given questionnaire survey by the world health organization＇ s quality of life questionnaire-brief version （WHOQOL-BREF） Chinese scale, the relevant factors were analyzed by multiple linear regression logistic analysis. Results The scores of postoperative life quality were （67.82 ± 13.54 ） and （ 58.54± 11.03 ） in male and female patients, the scores were （69.21 ± 13.45 ） and （57.57 ± 11.23） in patients aged younger than 50 and older than 50, the scores were （68.12 ±0.76） and （62.22 ±6.19） in patients with anem＇ysm size ≤7 mm and 〉7 mm, the scores were （68.33 ± 4.92） and （50.24± 6.95） in patients with aneurysm in the anterior circulation and posterior circulation, the scores were （54.51 ±5.57 ） and （65.67 ± 4.73 ） in patients with and without complications. Single factor analysis showed that gender, age, the size of aneurysm, aneurysm position, complications were relevant to the patients＇ quality of life, partial regression coefficients and standardized regression coefficients of age were - 3. 637and - 0. 437, the regression coefficients of aneurysm position were - 6. 353 and -0. 764, the regression coefficients of complications were 2. 674 and 0. 638. Multiple regression logistic analysis showed that aneurysm position, complications and age were the main influencing factors on the patients＇ quality of life. Conclusions Aneurysm position, complications and age are the important factors that affect thepostoperative life quality in patients embolized for aneurysmal subarachnoid hemo,Thage. In clinical care, conderation of these factors and relevant nurse can improve the quality of life of these patients.
出处
《中华脑科疾病与康复杂志（电子版）》
2012年第1期16-18,共3页
Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）
基金
河南省科技厅基金资助项目(082102310014)
