期刊文献+

颅脑损伤健康相关生命质量的影响因素分析 被引量:2

Investigation on health-related quality of life and influencing factors in patients with traumatic brain injury
下载PDF
导出
摘要 目的探讨颅脑损伤(TBI)健康相关生命质量(HRQOL)的影响因素。方法从2013年8月至2015年2月第三军医大学大坪医院神经外科就诊的TBI中随机抽取234例,采用抑郁自评量表(SDS)评估抑郁状态,采用SF-36量表评估HRQOL,采用多元逐步线性回归法分析HRQOL的影响因素。结果 SDS评分结果显示抑郁症状221例(94.4%)。统计分析结果显示SDS评分、GCS评分、年龄、性别、继续治疗、文化程度、婚姻状况、锻炼、收入、医保类型、颅内出血显著影响HRQOL评分。结论重视高龄、女性、低学历、无伴侣、低收入、无医保TBI患者,尤其注意低GCS评分、颅内出血患者,鼓励患者定期随访和心理疏导,加强锻炼,可显著改善TBI患者HRQOL评分。 Objective To analysis the depressive state, health-related quality of life (HRQOL) and factors influencing them in patients with traumatic brain injury (TBI). Methods The degrees of depression and HRQOL were assessed respectively by self-rating depression scale (SDS) and short form 36 questionnaire (SF-36) in 234 patients with TBI. The general situation and medical records information were analyzed in all the patients. Results Of 234 patients with TBI, 221 (94.4%) had depressive symptoms and 13 not. The stepwise regression analysis showed that the factors influencing HRQOL scores included SDS, GCS, age, sex, continue treatment, educational level, marital status, physical exercise, income and medical insurance type and intracranial hemorrhage in the patients with TBI. Conclusions The results suggested that more attention must be paid to elderly, female, low educational level, singleness, low income, no health care, low GCS and intracranial hemorrhage patients with TBI because they more easily suffered from depression after TBI. The regular follow-up, psychological counsel and physical exercise should be encouraged and strengthened. These measures can significantly improve the HRQOL in the patients with TBI.
出处 《中国临床神经外科杂志》 2016年第11期664-666,共3页 Chinese Journal of Clinical Neurosurgery
基金 解放军总后勤部卫生部保健专项科研课题(14BJZ53)
关键词 颅脑损伤 健康相关生命质量 影响因素 Quality of life Traumatic brain injury Depression Influencing factors
  • 相关文献

参考文献3

二级参考文献33

  • 1樊拥军,王永照,冯军峰,梁玉敏,包映晖,高国一,江基尧.117例老年人慢性硬膜下血肿的诊治[J].神经病学与神经康复学杂志,2007(4):213-214. 被引量:4
  • 2中国防治认知功能障碍专家共识专家组.中国防治认知功能障碍专家共识[J].中华内科杂志,2006,45(2):171-173. 被引量:568
  • 3张赛.颅脑创伤后神经行为障碍的认识和药物治疗[J].中华神经外科杂志,2007,23(7):481-482. 被引量:27
  • 4Mihae A. Bozarth. Pleasure svslems in the brain. In: War- burton DM. ed. Pleasure: The Polities and The Reality [M]. New York: John Wiley & Sons, 1994. 5-14.
  • 5Sullivan EV. Alcohol and drug dependence: brain mechani- sms and behavioral impact [J]. Neuropsychnl Rev, 2007, 17 (3): 235-238.
  • 6Blum K. Kozlowski GP. Ethanol and neuromodulator intera tions:a cascade model of" reward. In: Ollat Het al eds. Alco- hol and Behavior [M]. Utrecht. Netherlands: VSP Press. 1990. 131-149.
  • 7Blum K, Chen AL, Chen r13, et al. Aclivation inslcad of lrio- cking mesolimbic dopaminergic reward cireuilry is a prefer- red modality in the long lerm trealmenl of reward deficiengv syndrome (RDS): a commentary[J].Theor Biol Med Model. 2008, 5: 24.
  • 8Charier K, Beck A, Heinz A. The dopamine system in media- ring alcohol effects in humans [J]. Curt Top Behav Neurosci. 2013, 13: 461-488.
  • 9Tupala E, Tiihonen J. Dopamine and alcoholism: neurohio- logical basis of ethanol abuse [J]. Prog Neuropsychophar- ma- Col Biol PsychiatD,, 2004, 28(8): 1221-1247.
  • 10Wu HM, Wang XL, Chang CW, et al. Preliminary findings in ablating the nucleus accumbens using stereotactic surgeD" for alleviating psychological dependence on alcohol [J].Neurosci Lett, 2010, 473(2): 77-81.

共引文献27

同被引文献15

引证文献2

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部