뇌졸중 후 삶의 질에 영향을 미치는 요인

• 영문명: Influencing Factors on Quality of Life after Stroke
• 발행기관: 대한노인정신의학회
• 저자명: 김현철(Hyon Chul Kim) 김도훈(Do Hoon Kim) 김세주(Se Joo Kim) 문유선(Yoo Sun Moon) 김홍철(Heung Cheoul Kim)
• 간행물 정보: 『노인정신의학』노인정신의학 제7권 제1호, 67~75쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2003.06.30

영문 초록

Objectives：The cerebrovascular diseases including stroke have become prevalent in Korea, ranking first as the cause of death in the aged. The quality of life (QOL) in stroke patients has been studied with growing interest since every aspect of life after stroke is influenced by the sequelae of this illness. This study aimed at 1) describing QOL of stroke patients and 2) identifying predictors of two month QOL after the event in stroke survivors. Method：WHO QOL scale was used to evaluate two month QOL after the stroke in 69 ischemic stroke patients. Data on age at the stroke event, sex, education level, brain MRI (magnetic resonance imaging) findings, symptoms of depression and anxiety, and neurologic disabilities were collected. Analyses were performed to explore the predictors of two month QOL. Results：Stroke survivors with higher number and volume of frontal cortex lesions had lower two month QOL. Also, patients with more severe subcortical gray matter lesions had significantly lower two month QOL. Stroke patients with depression at the event had lower two month QOL than patients without depression. Conclusion：Lesions in frontal cortex and subcortical gray matter hyperintensities on MRI T2 images and depression in acute phase were of paramount importance in predicting two month QOL. Accurate and prompt neurologic and psychiatric interventions are required to improve QOL after stroke.

목차

서 론

대상 및 방법

결 과

고 찰

키워드

뇌졸중 삶의 질 뇌 자기 공명 T2 영상 피질 하 회백질 전두엽 우울 MRI T2 image Stroke Quality of life MRI T2 hyperintensity Subcortical gray matter Frontal lobe Depression