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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。
Objective To evaluate the quality of life in patients with acute stroke and the applicability of SF-36 to stroke patients. Methods SF-36 was used to study the quality of life of patients with acute stroke in stroke and compared with normal subjects. The proportion of patients with a lowest score (0 point) in one dimension in all patients (floor effect) and one dimension score The highest (100 points) of patients in all patients (ceiling effect). Results The overall quality of life of patients with stroke generally declined, especially in physical, physiological and emotional functions. The SF-36 scale has floor effects in four dimensions: physiological function, physiological function, social function and emotional function, and there is a ceiling effect on physiological function, social function and emotional function. Conclusion Stroke has a great impact on the quality of life of patients, and different degrees of impact on different aspects, suggesting that in patients with acute stroke stroke intervention should have different priorities. Other appropriate scales should be used in combination with SF-36 to assess quality of life in patients with very mild or severe stroke.