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뇌졸중 후 삶의 질에 영향을 미치는 요인

Other Titles
 Influencing Factors on Quality of Life after Stroke 
 김현철  ;  김도훈  ;  김홍철  ;  김흥철  ;  문유선  ;  김세주 
 Journal of Korean Geriatric Psychiatry (노인정신의학), Vol.7(1) : 67-75, 2003 
Journal Title
 Journal of Korean Geriatric Psychiatry (노인정신의학) 
Issue Date
stroke ; quality of life ; MRI T2 hyperintensity ; Subcortical gray matter ; Frontal lobe ; depression
stroke ; quality of life ; MRI T2 hyperintensity ; Subcortical gray matter ; Frontal lobe ; depression
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.
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1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Joo(김세주) ORCID logo https://orcid.org/0000-0002-5438-8210
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