健康调查简表和脑卒中影响量表在脑卒中康复临床中应用情况的调查分析

关键词：脑卒中  康复  健康调查简表  脑卒中影响量表  生存质量

Keywords:stroke  rehabilitation  medical outcomes study 36-item short form health survey  stroke impact scale  quality of life

摘要：

      摘要 目的：了解健康调查简表（SF-36）和脑卒中影响量表（SIS）在我国脑卒中康复临床的使用情况以及被认可程度。 方法：采用自行设计的网络问卷对国内三甲医院中从事脑卒中康复临床工作且具有一定资历的康复医师和康复治疗师进行调查。 结果：共回收有效问卷151份。SF-36和SIS在脑卒中康复中的临床使用率分别为31.13%和22.52%。同一量表在不同工作岗位的康复医师和（或）治疗师之间的使用率比较，差异无显著性意义（P>0.05）。临床对SIS的总体认可度高于SF-36（P<0.05），主要表现在量表的测试结果对诊断疾病及制定临床方案和出院计划的帮助三个方面。 结论：SF-36和SIS在我国脑卒中康复临床的生存质量评定中尚未获得普及应用，需增强患者的全面康复意识，加强对康复医师及治疗师的规范化培训，适时对量表进行修订使其更适用于我国脑卒中患者的生存质量评定。

Abstract:

      Abstract Objective: To study the clinical usage and acceptance degree in stroke rehabilitation of medical outcomes study(MOS) 36-item short form health survey (SF-36) and stroke impact scale (SIS). Method: The physiatrists and therapists were engaged in the clinical work of stroke rehabilitation in the tertiary hospitals and had seniority and were investigated using the self-designed network questionnaires. Result: One hundred and fifty-one questionnaires were valid. The clinical usage rate of SF-36 and SIS in stroke rehabilitation was 31.13% and 22.52% respectively. The usage rate of the same scale between physiatrists and (or) therapists was not significantly different (P>0.05). The clinical overall acceptance degree of SIS was higher than the SF-36 (Z=-2.655, P<0.05), which mainly reflected in the test results having the help for the three terms about diagnosing the diseases, making clinical protocol and discharge plan. Conclusion: The SF-36 and the SIS had not yet been widely used to evaluate health quality of life (HQOL) in stroke rehabilitation of China. The patients' consciousness of comprehensive rehabilitation and the standardized training of physiatrists and therapists should be strengthened. The scale should be revised timely and made them more suitable to assess the HQOL of stroke patient in our country.