| 林郁芬,李铮,周月秀,施娟.脑卒中后偏瘫肩痛患者生活质量的影响因素研究[J].上海护理,2019,19(3): |
| 脑卒中后偏瘫肩痛患者生活质量的影响因素研究 |
| The influencing factors of quality of life in stroke patients with hemiplegic shoulder painLin Yufen1, Li Zheng1, Zhou Yuexiu2, Shi Juan2. |
| DOI： |
| 中文关键词: 脑卒中 偏瘫肩痛 生活质量 影响因素 路径分析 |
| 英文关键词:stroke hemiplegic shoulder pain quality of life factors path analysis |
| 基金项目:复旦大学护理科研基金 |
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| 中文摘要: |
| 目的 探讨脑卒中后偏瘫肩痛患者生活质量的直接和间接影响因素，以期为临床症状管理提供参考信息。 方法 采用一般资料调查表、脑卒中后偏瘫肩痛症状评估表、简易疲乏量表、医院焦虑抑郁量表、Fugl-Meyer上肢功能评分量表和脑卒中生活质量专用量表对205例脑卒中后偏瘫肩痛患者进行调查。结果 偏瘫肩痛患者的生活质量总分为（144.48±27.69），整体处于中等水平。生活质量的主要影响因素是肩痛困扰、肩痛频度、肩外旋、疲乏程度和抑郁，可以解释总变异的63.3%。路径分析结果显示，疲乏程度、肩痛频度和肩痛困扰可直接影响患者的生活质量（β_(疲乏程度-生活质量)=-0.252，P<0.001；β_(肩痛频度-生活质量)=-0.147，P<0.001；β_(肩痛困扰-生活质量)=-0.317，P<0.001）；疲乏程度和肩痛频度亦可通过肩痛困扰来间接影响患者的生活质量（ β_(疲乏程度-肩痛困扰-生活质量)=-0.066，P<0.001；β_(肩痛频度-肩痛困扰-生活质量)=-0.064，P<0.001）。结论 临床上应同时关注脑卒中患者疲乏和偏瘫肩痛症状，关注抑郁和疲乏对症状体验的协同作用，提高医护人员症状管理的效率，从而提高脑卒中偏瘫肩痛患者的生活质量。 |
| 英文摘要: |
| Objective: To assess quality of life (QOL) of hemiplegic shoulder pain after stroke and analyze the direct and indirect influencing factors of QOL. Methods: A total of 205 stroke patients with HSP were investigated by using Demographic Questionnaire, HSP Symptom Assessment Scale, Brief Fatigue Inventory, Hospital Anxiety and Depression Scale, Fugl-Meyer motor assessment scale and Stroke Scale-Quality of Life. Results: The main score of QOL was (144.48±27.69) with moderate level. The influencing factors of QOL were the degree of fatigue, HSP frequency, HSP distress, depression and external rotation, which explained 63.3 % of the variance associated with QOL of the HSP patients. The degree of fatigue both directly and indirectly through HSP distress influenced QOL of the HSP patients（β_(Fatigue-QOL)=-0.252，P<0.001; β_(Fatigue-HSP distress-QOL)=-0.066，P<0.001）; HSP frequency both directly and indirectly through HSP distress influenced QOL of the HSP patients（β_(HSP frequency-QOL)=-0.147, P<0.001;β_(HSP frequency-HSP distress-QOL)=-0.064, P<0.001）. Conclusion: The healthcare providers are supposed to pay attention to both fatigue and HSP, in order to boost efficiency of symptom management, in order to promote the QOL of stroke patients with HSP. |
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