Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke?
Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke?
复制标题
中风患者的健康相关生活质量是否会受到中风后一年神经功能损伤的影响？
DOI：
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复制
发表时间：
2010
影响因子：
4.5
通讯作者：
M. Massucci
中科院分区：
文献类型：
--
作者：
M. Franceschini;F. La Porta;M. Agosti;M. Massucci
目的
本研究的目的是评估脑卒中后一年，哪些神经功能障碍与出院后健康相关生活质量（HRQoL）方面的不良结局相关。
方法
我们在一项涉及18个意大利住院患者康复中心的多中心观察性研究中招募了528名首次卒中患者。出院时，神经功能障碍相关因素、社会人口统计学和一般临床变量以及过程指标被视为独立变量。结局由以下HRQoL因变量表示：EuroQoL-5D问卷（5D-EQoL）及其衍生指数（Eq指数）和视觉焦虑评分（QoL-VAS）。
结果
较低HRQoL的最强预测因子是肢体运动恢复不完全。不完全下肢运动恢复与较低的HRQoL仅在“移动性”域，而不完全上肢运动恢复可以预测较低的HRQoL在所有领域，除了“移动性”。关于认知障碍，出院时存在忽视与“自我护理”、“疼痛-不适”和“焦虑-抑郁”方面的HRQoL较低相关。女性、导尿管的存在似乎在预测HRQoL中发挥的作用要小得多。
结论
这项研究的结果表明，上肢运动障碍可能对患者的感知HRQoL中风后一年的不利影响。
AIM
The aim of this study was to evaluate which neurological impairments on discharge from rehabilitation services are associated with a worse outcome in terms of health related-quality of life (HRQoL) one year after stroke.
METHODS
We enrolled 528 first-time stroke patients in a multicenter observational study involving 18 Italian inpatients rehabilitation centers. Neurological impairment-related factors, socio-demographic and general clinical variables and process indicators were considered independent variables at discharge. Outcome was represented by the following dependent variables of HRQoL: EuroQoL-5D questionnaire (5D-EQoL) and its derived index (Eq-Index) and a Visual Analogue Score (QoL-VAS).
RESULTS
The strongest predictors of lower HRQoL were an incomplete limbs motor recovery. An incomplete lower limb motor recovery was associated with a lower HRQoL only in the "mobility" domains, whereas a incomplete upper limb motor recovery could predict a lower HRQoL in all domains except "mobility". Regarding cognitive impairments, the presence of neglect at discharge was associated with a lower HRQoL in "self-care", "pain-discomfort" and "anxiety-depression". Female gender, presence of urinary catheter seemed to exert a much lesser role in predicting HRQoL.
CONCLUSION
The results of this study suggest that upper limb motor impairments may have a detrimental impact on the patient's perceived HRQoL one year after stroke.
中风患者出院目的地的决定因素。
DOI：
10.1002/j.2048-7940.2004.tb00338.x
发表时间：
2004
期刊：
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
影响因子：
--
作者：
Lutz,BarbaraJ
通讯作者：
Lutz,BarbaraJ