陆敏，彭军，尤春景，黄晓琳，郭铁成.WHOQOL-BREF在脑卒中偏瘫患者中的应用[J].中华物理医学与康复杂志,2004,(4):
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| WHOQOL-BREF在脑卒中偏瘫患者中的应用 |
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| DOI： |
| 中文关键词: 脑卒中 生存质量 康复 |
| 英文关键词: Stroke Quality of life Rehabilitation |
| 基金项目: |
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| 中文摘要: |
| 目的应用WHOQOL-BREF研究脑卒中偏瘫患者不同时期生存质量的变化以及康复治疗对生存质量的影响。 方法50例急性脑卒中患者被随机分为康复组和对照组，每组各25例，两组患者均接受药物治疗，康复组同时进行以运动训练为主的康复治疗。采用WHOQOL-BREF量表和生存质量主观感受评分分别于病程1，3和6个月对患者进行评估。 结果康复组病程3个月、6个月与对照组病程6个月时，WHOQOL-BREF在生理、心理和环境领域评分均显著高于同组病程1个月时（P＜0.05），这3个领域评分在康复组病程3个月和6个月时均显著高于同期对照组（P＜0.05）。康复组病程6个月时主观感受评分显著高于同组病程1个月时（P＜0.05），与对照组同期比较，差异也有显著性意义（P＜0.05）。 结论临床上应用WHOQOL-BREF可反映脑卒中偏瘫患者不同时期生存质量的变化，同时证明康复治疗有利于改善患者的生存质量。 |
| 英文摘要: |
| Objective To explore the change of the quality of life (QOL) during different periods and the therapeutic effect of rehabilitation on QOL in stroke patients by using the adapted brief version of the World Health Organization quality of life questionnaire (WHOQOL-BREF). MethodsFifty acute stroke patients were divided into a rehabilitation group (25 cases) and a control group (25 cases) randomly. The drug treatment in the two groups was almost the same. The patients in the rehabilitation group carried out rehabilitation therapy at the same time. WHOQOL-BREF was used at 1, 3 and 6 months after the onset of stroke. All patients graded themselves according to their subjective feeling on QOL at the same time. ResultsThe patients in the rehabilitation group at 3 and 6 months and the patients in the control group at 6 months demonstrated much higher scores in physical, psychological and environmental domains of WHOQOL-BREF than those in the same group at 1 month. The scores of the three domains in the rehabilitation group at 3 and 6 months were higher than those in the control group at the same time. The subjective feeling on QOL score in the rehabilitation group at 6 months were also higher than those in the rehabilitation group at 1 month and the control group at 6 months. ConclusionThe QOL during different periods in stroke patients has undergone a great change as revealed by the WHOQOL-BREF. The rehabilitation therapy can effectively improve QOL of stoke patients. |
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