摘要
目的 调查缺血性脑卒中患者卒中后生活质量、认知功能与日常生活活动能力的现状,探讨认知功能与日常生活活动能力对生活质量的影响,为提升脑卒中患者生活质量提供借鉴.方法 采取便利抽样法选取2018年9月-2019年1月在上海某院神经内科住院的缺血性脑卒中患者140例为研究对象.采用一般资料调查表、简易精神状态检查量表(MMSE)、Barthel指数量表(BI)和WHO生存质量测定量表简表(WHOQOL-BREF)对其进行调查.通过SPSS 22.0和AMOS 22.0分析认知能力和日常生活能力对生活质量的影响.结果 140例缺血性脑卒中患者WHOQOL-BREF总分为(52.56±5.34)分,BI得分为[55(40.00,67.25)]分,MMSE得分为[26(23.25,28.00)]分.患者生活质量与日常生活活动能力呈正相关(r=0.173,P<0.05),与认知功能呈正相关(r=0.276,P<0.05).路径分析显示,认知功能与日常生活活动能力均对生活质量具有正向预测作用,路径系数分别为0.29、0.38.结论缺血性脑卒中患者卒中后生活质量处于中等水平,患者认知能力和日常生活活动能力影响其生活质量,临床上应引起重视并采取有效措施早期进行认知功能的康复训练和日常生活活动能力系统干预.
Objective To investigate the status quo of quality of life (QOL), cognitive function and activities of daily living (ADL) in patients with ischemic cerebral stroke, explore cognitive function and ADL on QOL, and provide a reference for improving QOL in patients with cerebral stroke. Methods Totally 140 patients with ischemic cerebral stroke hospitalized in the Department of Neurology of a hospital in Shanghai from September 2018 to January 2019 by convenient sampling and investigated with the demographic information questionnaire, Mini-Mental State Examination (MMSE), Barthel Index (BI) andWHO Quality of Life-BREF (WHOQOL-BREF). SPSS 22.0 and AMOS 22.0 were used to analyze the effects of cognitive function and ADL on QOL. Results The total WHOQOL-BREF, BI and MMSE scores of the 140 patients with ischemic cerebral stroke was (52.56±5.34), [55 (40.00,67.25)]and[26 (23.25, 28.00)], respectively. Patients's QOL was positively correlated with ADL (r=0.173,P<0.05) and cognitive function (r=0.276,P<0.05). The path analysis revealed that both cognitive function and ADL had positive predictive power for QOL, whose path coefficient was 0.29 and 0.38. Conclusions The QOL of patients with ischemic cerebral stroke stands at a medium level. Patients' cognitive function and ADL affect their QOL, which should draw attention in clinical practice, and measures should be taken for rehabilitation training of cognitive function and systematic interventions of ADL.
作者
牛淑珍
邹珊珊
卢坤
庞雪滢
施雁
吴茜
Niu Shuzhen;Zou Shanshan;Lu Kun;Pang Xueying;Shi Yan;Wu Qian(Department of Nursings Tenth People's Hospital of Tongji University,Shanghai 200072,China;Department of Gastrointestinal Surgery,Tenth People’s Hospital of Tongji University,Shanghai 200072,China)
出处
《中华现代护理杂志》
2019年第35期4565-4570,共6页
Chinese Journal of Modern Nursing
基金
国家自然科学基金面上项目(71774117)
国家自然科学基金青年项目(71704135)。
关键词
卒中
缺血性脑卒中
认知功能
日常生活活动能力
生活质量
路径分析
Stroke
Ischemic cerebral stroke
Cognitive function
Activities of daily living (ADL)
Quality of life (QOL)
Path analysis
