《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

脑卒中后吞咽障碍患者生活质量的相关因素①

李莎   

  1. 三峡大学第一临床医学院，湖北宜昌市443003。
  • 出版日期:2016-05-25 发布日期:2016-07-04

Related Factors to Quality of Life in Patients with Dysphagia after Stroke: An Ordinal Regression Analysis

LI Sha   

  1. First Clinical College of China Three Gorges University, Yichang, Hubei 443003, China
  • Published:2016-05-25 Online:2016-07-04

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摘要： 目的探讨脑卒中后吞咽障碍患者的生活质量及其相关因素。方法2014 年1 月~2015 年2 月，采用吞咽障碍患者生活质量量表(SWAL-QOL)对100 例脑卒中后吞咽障碍患者进行调查，收集患者的基础资料和专科评价资料，进行单因素分析及Ordinal回归分析。结果单因素分析显示，不同年龄、病程、文化程度、并发症情况、治疗时间、进食方式、饮水试验级别和吞咽功能评分患者生活质量评分有非常显著性差异(P<0.01)；Ordinal 回归分析显示，50~59 岁、受教育程度高、没有并发症、饮水试验分级低的患者，生活质量评分高的的可能性更大。结论可根据吞咽障碍患者相关因素进行干预，以提高患者的生活质量。

关键词: 脑卒中, 吞咽障碍, 生活质量, 相关因素

Abstract: Objective To investigate the quality of life (QOL) of dysphagic patients after stroke and the factors related to it. Methods One hundred patients with dysphagia after stroke from January, 2014 to February, 2015 were investigated with the Swallowing Disorder Patients Quality of Life Scale (SWAL-QOL). The general and special data of the patients were collected, and were analyzed with univariate analysis and Ordinal regression. Results With univariate analysis, there was significant difference in scores of SWAL-QOL among the patients of various ages, courses, education levels, complications, treatment time, ways of eating, grades of drinking water test and swallowing function scores (P<0.01). Ordinal regression analysis showed that the high scores of SWAL-QOL was more probable in the patients aged 50-59 years old, with higher education level, no complication and less grade of drinking water test. Conclusion Intervention targeted to the risk factors may improve the QOL of patients with dysphagia after stroke.

Key words: stroke, dysphagia, quality of life, related factors