한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제15권1호
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  • Pages.274-282
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  • 2014
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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급성기 뇌경색 발생 환자의 1년 후 삶의 질 관련요인

A Study on Factors in Quality of Life of Patients with Acute Cerebral Infarction One Year after Diagnosis

  • 신승옥 (조선대학교 대학원 보건학과) ;
  • 류소연 (조선대학교 의과대학 예방의학교실)
  • Shin, Seung-Ok (Department of Health Science, Graduate School of Chosun University) ;
  • Ryu, So Yeon (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 투고 : 2013.08.30
  • 심사 : 2014.01.09
  • 발행 : 2014.01.31
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초록

본 연구는 급성기 뇌경색 환자의 일반적인 특성, 치료관련 특성 및 뇌졸중 평가척도와의 관련성을 파악하고, 뇌졸중 환자의 삶의 질 영향요인을 분석하였다. 연구대상은 한 대학병원에서 7일 이내 발생한 뇌경색으로 진단받고 퇴원한 환자이며 1년 후까지 생존한 576명을 대상으로 전화인터뷰를 통한 삶의 질을 조사하였다. 연구결과 평균연령은 $65.8{\pm}12.4$세로 남성이 62.0%이었으며, 삶의 질 평균은 $0.77{\pm}0.29$점이었다. 뇌졸중 환자의 성별, 연령, 고혈압, 심방세동, 뇌졸중 과거력, 흡연에서 통계적으로 유의한 차이가 있었다. 삶의 질에 영향을 주는 요인을 위해 다중회귀분석한 결과 여성이 남성에 비해 삶의 질이 낮았고, 뇌졸중 과거력이 있거나 연령이 높을수록 삶의 질이 유의하게 낮았다. 뇌졸중 평가 척도가 높을수록 삶의 질이 유의하게 낮았다. 따라서 뇌졸중으로 입원중과 퇴원이후에는 환자에게 적합한 프로그램의 중재가 이루어져야 하며 재발방지를 위한 프로그램 개발이 필요할 것이다.

This study aimed to investigate the general characteristics of patients with acute cerebral infarction, the characteristics of its treatment and its correlation with stroke rating scale and to analyze the factors that affect patient's quality of life. The subject of this study was 576 patients who survived more than a year after they were diagnosed with cerebral infarction that occurred within 7 days and discharged from a study center. Their quality of life was investigated through phone interview. The average age of subjects was $65.8{\pm}12.4$ years old and male subjects took up 62% among all subjects. The mean of quality of life showed $0.77{\pm}0.29$. There was statistically significant difference in factors such as gender, age, hypertension, atrial fibrillation, stroke history and smoking. The result of multiple regression analysis showed the quality of life was lower in females than in males and it was significantly low in older subjects or those with stroke history. Also high stroke scale was related to significantly low quality of life. As such, hospitalized patients due to stroke should receive appropriate intervention during the hospitalization and after their discharge and the development of program is required to prevent relapse.

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