Analysis of health⁃related quality of life and influencing factors in patients with stroke
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摘要:
为反映脑卒中患者的健康相关生命质量，本研究利用中国健康与养老追踪调查（China health and retirement longitudinal study， CHARLS）数据，基于欧洲五维健康量表（EQ?5D?3L）计算脑卒中患者的健康效用值；并通过K?W检验、Tobit截取回归模型分析脑卒中患者健康相关生命质量的影响因素。结果显示，脑卒中患者健康效用平均值为0.62±0.23。性别、受教育水平、婚姻状况、睡眠时长、吸烟状况、社交活动频率、身体质量指数（body mass index，BMI）会对其健康相关生命质量产生不同程度的影响（P<0.05）。脑卒中患者的健康相关生命质量较低，建议医院、社区等部门采取各种措施提高患者对疾病的认知；针对各种可控的危险因子，倡导患者采取更加健康的生活方式。
Abstract:
To determine the health?related quality of life （HRQoL） of patients with stroke， this study used the CHARLS survey data and calculated the health utility value of stroke patients based on EQ?5D?3L scale，K?W test and Tobit regression model were applied to identify the influencing factors on HRQoL of patients with stroke. It showed that the mean health utility value of the included sample was 0.62±0.23. Gender， education level， marital status， sleep duration， smoking status， frequency of social activities， and BMI have different effects on HRQoL of patients with stroke（P<0.05）. Low HRQoL was common in the patients with stroke. It is suggested that hospitals，communities and any authorities concerned should take various measures to improve patients’cognitive ability of stroke. Patients were also recommended to adopt healthier lifestyle according to various controllable risk factors.
