【摘要】 目的评价脑卒中急性期患者的生活质量及SF-36对脑卒中患者的适用性。方法采用SF- 36研究脑卒中急性期患者的生活质量,并与正常人进行比较,同时计算某一维度得分最低(0分)的患者在所有患者中的比例(地板效应)和某一维度得分最高(100分)的患者在所有患者中的比例(天花板效应)。结果脑卒中患者总体生活质量普遍下降,特别是躯体功能、生理职能和情感职能的受损程度最大。SF-36量表在生理功能、生理职能、社会功能和情感职能4个维度存在地板效应,在生理职能、社会功能和情感职能上存在天花板效应。结论脑卒中对患者的生活质量有很大影响,且对不同方面的影响程度各不相同,提示在对脑卒中急性期患者进行干预治疗时应有不同的侧重点。在用SF-36评估极轻或重度脑卒中患者生活质量时应联合使用其他合适量表。更多还原

【Abstract】 Objective To assess the quality of life(QOL)in patients with stroke at the acute stage,and to determine whether all the dimensions of the Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)are applicable to the stroke patients.Methods Fifty stroke patients at the acute stage were studied.The SF-36 was employed to assess the quality of life of the patients,and a self-designed questionnaire was used to record the general information of them.The data obtained from the patients was compared with the Chinese norm reported in literature. We also calculated the percentage of subjects who achieved the lowest possible score(score of 0,floor effect)and the percentage of subjects who achieved the highest possible score(score of 100,ceiling effect).Results The QOL of the acute stroke patients,as reflected by scores with all the dimensions of the SF-36 scale,was significantly reduced when compared with the norm data(P<0.05),especially with the dimensions of the physical function,the role physical and the role emotions.In addition,ceiling effects and floor effects were revealed in some dimensions of the SF-36 scale when applied to the stroke patients.Conclusion The acute stroke affects the QOL of the patients sub- stantially,and the disease has different influences on different dimensions of the scale,indicating that intervention should be selected and applied accordingly.It is advisable to keep in mind the floor and ceiling effects of SF-36 and to use other QOL instruments for those with either very mild or severe stroke.更多还原