The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip.
The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip.
复制标题
加沙地带中风和高血压患者的心理压力和健康相关生活质量的关联。
DOI：
10.1186/1744-859x-5-6
复制
发表时间：
2006-05-19
影响因子：
3.7
通讯作者：
Aljeesh, Y
中科院分区：
文献类型：
--
作者：
Baune, B T;Aljeesh, Y
该研究旨在调查患有高血压加中风或单纯高血压的心血管疾病（CVD）患者的心理压力与生活质量（QOL）之间的关系。 WHOQOL-BREF 调查问卷适用于 112 名患有高血压合并脑卒中的高血压患者和 224 名没有脑卒中的高血压患者。使用SCL-90 评估心理压力。使用学生 t 检验比较平均值量表分数，并使用协方差分析计算 QOL 的预测因子。中风患者的生活质量显着低于未中风患者，但压力水平显着较高 (p < 0.01)。在协方差分析中，心理压力与非中风患者的生活质量的所有领域均显着相关。在这些多变量分析中，相同的心理和社会人口因素对中风患者影响很小。在这些模型中，心理压力对中风患者的整体生活质量有显着影响。收入和性别是唯一与中风患者生活质量的身体（教育）和社会（性别）领域显着相关的社会人口学因素。心理压力与非中风患者的生活质量的所有领域都密切相关，而与中风患者的生活质量仅部分相关。未来的研究应该调查心理压力是否是一个适合旨在减轻心血管疾病患者压力的教育和心理干预的因素，这可能大大有助于改善这些患者的健康相关生活质量。
The study was performed to investigate the association of psychological stress and quality of life (QOL) among patients with the cardiovascular disease (CVD) of hypertension plus stroke or hypertension only. The WHOQOL-BREF questionnaire was applied to 112 hypertensive patients with hypertension plus stroke and 224 hypertensive patients without stroke. Psychological stress was assessed with SCL-90. Means scale scores were compared using student-t-test and predictors of QOL were calculated with covariance analysis. Patients with stroke had a significant lower QOL than patients without stroke and a significantly higher level of stress (p < 0.01). In analyses of covariance psychological stress was significantly correlated to all domains of QOL among non-stroke patients. The same psychological and sociodemographic factors showed little impact on the stroke patients in these multivariable analyses. In these models psychological stress had a significant impact on the global domain of QOL among stroke patients. Income and gender were the only sociodemographic factors being significantly associated with the physical (education) and social (gender) domains of QOL in stroke patients. Psychological stress was strongly correlated with all domains of QOL in patients without stroke and was only partly associated with QOL among patients with stroke. Future studies should investigate if psychological stress is a factor suitable for educational and psychological interventions aiming at stress reduction in CVD patients which might substantially contribute to better health related quality of life in these patients.