| Objective: To explore the quality of life (QOL) and its influencing factors in stroke patients with affective disorder. Methods: Stroke patients were evaluated by Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) before discharge, and 128 were identified with post-stroke affective disorder. Those 128 patients were measured with Shot Form 36 Health Survey Questionnaire (SF-36) and questionnaire survey before discharge and 6 months after discharge. The patients' state of life was analyzed with the ordinal Logistic regression method to find out its influencing factors. Results: The QOL of the stroke patients with affective disorder decreased obviously with an average score between 22.67-62.95. The average scores increased during the 6 months of post-discharge, but only those of physical functioning (PF), role limitations due to physical health (RP), bodily pain (BP), general health perceptions (GH) and vitality (VT) increased significantly, and those of emotional functioning, social functioning and mental health were not. Some common factors that influenced physical and mental health of the patients included: gender, marriage state, family situation, life nursing, activity of daily living, cognitive function, community rehabilitation, etc (P<0.05). Conclusion: The QOL of the stroke patients with affective disorder was closely related with family situation, activity of daily living, cognitive function. Family caring and nursing, and community rehabilitation have a positive effect on QOL of the stroke patients with affective disorder. |
