目的:调查吞咽障碍及其程度对脑卒中患者及主要照顾者生存质量的影响.方法:应用世界卫生组织生存质量测定量表简表(WHOOOL-BREF)评估脑卒中患者及主要照顾者生存质量,对100例脑卒中后有吞咽障碍(SD)患者和100例脑卒中后无吞咽障碍(SND)患者及其主要照顾者200例进行测评.结果:SD组和SND组进行比较:2组之间生理领域和心理领域评分有统计学差异(P＜0.01),社会领域和环境领域评分无统计学差异;主要照顾者之间进行比较:2组之间生理领域和心理领域评分有统计学差异(P＜0.01),社会领域和环境领域评分无统计学差异.重度吞咽功能障碍患者生理领域、心理领域和环境领域得分显著低于中、轻度吞咽功能障碍患者(P＜0.05);社会领域评分无统计学差异;不同吞咽障碍程度的SD主要照顾者生理领域,心理领域和社会领域评分有统计学差异(P＜0.05);环境领域评分无统计学差异.结论:SD组整体生存质量水平较低,尤以生理领域和心理领域的影响最大.吞咽障碍程度是主要的影响因素,不仅影响患者生存质量,也会影响主要照顾者的生存质量.%Objective:To investigate the effects of dysphagia and dysphagia on the quality of life of stroke patients and caregivers.Methods:The quality of life scale WHO (WHOOOL BREF) was applied to evaluate the quality of life of stroke patients and caregivers.100 stroke patients with dysphagia (stroke dysphagia,SD) and 100 stroke patients with non-dysphagia (stroke,non-dysphagia,SND) and their caregivers (n=200) were investigated.Results:Physical and psychological scores had significant difference (P＜0.01) and social and environment domains score showed no significant difference (P＞0.05) between the SD and SND groups.The physical and psychological scores in the primary caregivers had significant difference (P＜0.01) and social field and the environment showed no significant difference between the SD and SND groups (P＞0.05).The dysphagia score of severe patients was significantly lower than in the patients with mild dysphagia (P＜0.05).There was no significant difference in the scores of social field between the SD and SND groups.Different dysphagia degrees of SD caregivers had significant difference in physiological field,psychological field and social field (P＜0.05).No significant difference in the score of the environmental field was found between the SD and SND groups.Conclusion:The overall quality of life in SD group is low,especially in the field of physiology and psychology.The degree of dysphagia is the main influencing factor,which not only affects the quality of life of patients,but also affects the quality of life of primary caregivers.
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