摘要
目的:探讨脑卒中患者生活质量的研究现状及其影响因素。资料来源:应用计算机检索Medline1996-01/2003-12和Embase1996-01/2003-06的与脑卒中患者生活质量相关文章,检索词“stroke,rehabilitation,QOL,lifesatisfaction,effectfactors”,并限定语言种类为English,以及中文全文数据库CNKI,检索词脑卒中、康复、生“活质量、生活满意度和影响因素”,并手工检索近期的相关中文期刊和有关书籍。资料选择:对资料进行初审,选出包含研究目的的文献,筛除与目的无关的文献。纳入标准:①发病3个月以上的脑卒中患者的现况调查、随机对照临床试验。②临床试验研究包含平行对照组。③治疗组为康复干预。排除标准:①发病3个月以内的脑卒中患者的研究。②综述。资料提炼:共找出相关性强的文献60篇,并查找全文,其中10篇涉及脑卒中患者生活质量的研究意义,5篇涉及脑卒中患者生活质量概念,12篇涉及脑卒中患者生活质量量表及23篇涉及脑卒中患者生活质量的影响因素,排除19篇重复文章,共纳入41篇。资料综合:41篇文献中包括2231例患者,对有关脑卒中患者生活质量的研究意义、概念、量表及生活质量的影响因素进行综合分析,其影响因素为年龄、性别、文化水平、合并疾病、患者的心理、社会支持、康复干预和经济环境等。结论:脑卒中?
OBJECTIVE:To explore the research status and influencing factors of quality of life(QOL) in stroke patients. DATA SOURCES:Medline database 1996-01/2003-12 and Embase database 1996-01/2 003-06 were searched using the terms “stroke, rehabilitation,QOL,life satisfac tion,effect factors' by computer to identify the English published articles on QOL of stroke patients as well as Chinese full paper database CNKI 1996-01/2003 -12 using the above terms in Chinese. At the same time, hand searches of the re cent published magazines and books were performed. STUDY SELECTION:The relevant articles were enrolled and others were removed.Th e selection criteria were①prevalence survey,randomized controlled clinical tria ls on stroke patients more than 3 months after onset;②clinical trials including parallel control group;③study group receiving rehabilitation treatment.The exc lude criteria included①stroke patients within 3 months after onset;②review art icles. DATA EXTRACTION:Sixty closely related articles were selected to search full pa pers,including 10 related to the research significance of stroke patients' QOL,5 related to the conception of QOL,12 related to the assessment scale of QOL and 23 related to the influencing factors of QOL,but 19 articles were excluded becau se of repeated studies. DATA SYNTHESIS:Forty one articles were included for a total of 2 231 patients to summarize and analyze the conception,assessment scales and the influencing f actors of QOL,and the influencing factors of QOL were age,sex,education level,de pression,social support,rehabilitation and economical environment,etc. CONCLUSION:The influencing factors of stroke patients' QOL are variable,which should be attracted when the rehabilitation intervention is performed,and rehabi litation intervention should be made pertinently so as to improve patients' QOL.
出处
《中国临床康复》
CSCD
北大核心
2005年第1期136-138,共3页
Chinese Journal of Clinical Rehabilitation
