| 黄玮,顾小红,王胜娇.创伤性脑损伤患者健康相关生命质量评价及其影响因素[J].安徽医药,2016,20(10):1892-1894. |
| 创伤性脑损伤患者健康相关生命质量评价及其影响因素 |
| Health-related quality of life and influence factors in patients with traumatic brain injury |
| 投稿时间：2016-07-20 |
| DOI： |
| 中文关键词: 颅脑损伤 生命质量 影响因素 |
| 英文关键词: Craniocerebral trauma Quality of life Influence factor |
| 基金项目:解放军总后勤部卫生部保健专项科研课题(14BJZ53) |
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| 中文摘要: |
| 目的 分析创伤性脑损伤(TBI)患者抑郁状况和健康相关生命质量。方法 评估TBI患者抑郁状况和健康相关生命质量(HRQOL)分数,并分析一般情况和病历资料。 结果 抑郁自评量表(SDS)评分结果显示抑郁症状221例(94.4%)。统计结果显示SDS评分、格拉斯哥昏迷指数(GCS)评分、年龄、性别、继续治疗处理、文化程度、婚姻状况、锻炼、收入、医保类型、颅内出血可影响健康相关生命质量评分,回归系数分别为-18.61、15.68、-12.53、-8.10、17.33、5.47、4.17、10.16、7.11、8.26、-13.78。 结论 重视高龄、女性、低学历、无伴侣、低收入、无医保患者,尤其注意低GCS评分、颅内出血者,鼓励患者定期随访和心理疏导,加强锻炼,可显著改善TBI患者健康相关生命质量。 |
| 英文摘要: |
| Objective To explore the depressive state and health- related quality of life (HRQOL)in patients with traumatic brain injury (TBI).Methods We assessed degree of depression and HRQOL in patients with TBI and analyzed the general situation and medical records of these patients.Results SDS results showed that there were 221 patients with depressive symptoms (94.4%).Stepwise regression analysis showed that SDS,GCS,age,gender,continue treatment,education,marital status,physical exercise,income and medical insurance type and intracranial hemorrhage influenced the HRQOL scores of patients with TBI.The regression coefficients of the factors were -18.61,5.68,-12.53,-8.10,7.33,5.47,4.17,0.16,7.11,8.26 and -13.78,respectively.Conclusions The results suggested that more attention must be paid to elderly patients,females,and patients with low education,no partner,low income,or no medical insurance.And particular attention should be directed to the patients with low GCS and intracranial hemorrhage.Regular follow-up,psychological counseling and exercises are encouraged among patients,which can significantly improve the HRQOL of patients with TBI. |
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