摘要
Abstract
Objective To investigate the sex differences in the independency of the activities of daily living (ADL) and quality of life in patients with stroke 3 months after onset.Methods A total of 200 consecutive patients with first attack of stroke admitted to Fuxin No.2 People's Hospital, Liaoning province from March 2010 to March 2011 were selected prospectively, 115 of them were males and 85 were females.The modified Barthel index (MBI) ≥95 was defined as ADL independence.The sex, age, type of stroke ( ischemic or hemorrhagic), past medical history, type of follow-up ( patient 's response and agent's response), stroke and the effect of MBI score at discharge on ADL in stroke patients three months after stroke, as well as the differences of the Stroke-Specific Quality of Life Scale (SS-QOL) scores between the 2 sexes were assessed.Results ①All patients were completed the follow-up study.There was no sex difference in MBI scores at stroke; the proportion of males achieving ADL independence at discharge was higher than that of females (67.8％ vs.48.2％ ), the difference was statistically significant (P ＜0.01 );the mRS scores in males were better than females 3 months after stroke.The difference was statistically significant (P ＜0.05).②MBI was ≥95 in 121 patients 3 months after stroke, of which 79 were males, 42 were females, the difference was statistically significant ( P ＜0.01 ).After adjustment for age, stroke subtype, different types of follow-up, an univariate logistic regression analysis showed that sex was an independent influential factor for ADL after stroke ( OR, 0.39; 95％ CI:0.19 -0.87).③Among the SS-QOL scores, the strength, communication, ADL/instrumental activities of daily living (IADL), memory and thinking, social participation, and overall health score in males were all higher than those in females.The difference was statistically significant ( P ＜ 0.05 - 0.01 ).The mood scores responded by the patients in males were higher than those in females (P＜0.01), whereas there was no significant difference in agent's response between the 2 sexes.Conclusion Sex is one of the factors of affecting the quality of life after stroke.关键词
卒中/康复/生活质量/性别因素Key words
Stroke/ Rehabilitation/ Quality of life/ Sex factors
