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李 娟,吕雨梅,周郁秋,李英丽,杨 薇.大庆市住院脑卒中患者残疾状况及影响因素研究[J].中国康复医学杂志,2017,(12):1376~1381
大庆市住院脑卒中患者残疾状况及影响因素研究    点此下载全文
李 娟  吕雨梅  周郁秋  李英丽  杨 薇
哈尔滨医科大学(大庆)
护理学院,大庆,163319
基金项目:
DOI:
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摘要:
      摘要 目的:探讨大庆市住院脑卒中患者残疾状况及其影响因素。 方法:收集2015年4月至2015年12月在大庆市萨尔图区、龙凤区、红岗区、肇源县的4家三级/二级医院入院的脑卒中急性起病后2周以上的患者进行横断面调查,采用面对面自行设计的问卷调查的形式。采用改良Barthel指数(MBI)量表进行残疾评定,将MBI<95分定义为残疾。采用单因素和多因素分析发现脑卒中后残疾发生的影响因素和独立影响因素,并运用矩阵相关分析探寻各影响因素之间是否存在共线性关系。 结果:共调查705例脑卒中患者,卒中后残疾率为64.0%(451/705);在451例残疾患者中,轻度、中度、重度、完全残疾分别占47.2%(213/451)、26.6%(120/451)、17.5%(79/451)、8.7%(39/451)。多因素非条件logistic回归分析结果显示,卒中后残疾的独立影响因素为年龄、婚姻状况、规律锻炼、高血压史、心脏病史、神经功能缺损、抑郁状态、主观支持、支持利用度。矩阵相关分析提示社会支持总分与主观支持、支持利用度之间存在一定的共线性,相关系数分别为0.886和0.681。 结论:残疾为脑卒中患者常见并发症且影响残疾的因素是多方面的。因此,医护人员应多关注脑卒中患者的残疾状况,及早发现不利因素,进而采取有效措施,以减少卒中后残疾的发生。
关键词:脑卒中  残疾  影响因素  社会支持
Disability and its influencing factors after stroke among in-patients in Daqing    Download Fulltext
Nursing School of Harbin Medical University Daqing Campus,Daqing,163319
Fund Project:
Abstract:
      Abstract Objective:To explore the disability and its influencing factors after stroke among in-patients in Daqing. Method:A cross-sectional study was conducted in 4 grade 3/2 hospitals located in Saertu district,Longfeng district,Honggang district and Zhaoyuan country of Daqing. We evaluated the patients with a history of stroke for more than 2 weeks after onset. Modified Barthel Index (MBI) was used to assess disability. The disability was defined as MBI <95. The Chi-square test and t test was used for univariate, and forward stepwise multivariate Logistic regression for variate analysis. Linear correlation between influencing factors were detected. In this experiment,a total of 705 patients were evaluated from Apr. 2015 to Dec. 2015. Result:Total disability rate was 64.0%(451/705),and the proportion of mild,moderate,severe or total disability was 47.2%(213/451),26.6%(120/451),17.5%(79/451)or 8.7%(39/451)respectively. Logistic regression analysis showed that the independent influencing factors for post-stroke disability were age,marital status,regular exercise,hypertension history,heart disease history,neurological deficits,depression,subjective support and availability of support.Linear correlation analysis suggested that subjective support and utilization of support were related to the total score of social support, and the correlation coefficients were 0.886 and 0.681. Conclusion:Disability is a common complication of stroke with multiply influencing factors. Therefore,staff should pay more attention to stroke patients,especially their status of disability,in order to find out risk factors and take effective interventions to reduce disability.
Keywords:stroke  disability  influencing factors  social support
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