50歲以上民眾初次罹患腦中風疾病之危險因素探討-以中部某醫學中心病患為例

Risk factors study of first-ever stroke of people above 50 years old : A mid-Taiwan medical center case-control study

簡慈儀(Tsu-Yu Chien)

指導教授 ： 徐尚為

亞洲大學/健康學院/健康管理研究所/碩士(2008年)

摘要

中 文 摘 要
本研究之目的在瞭解中老年人導致腦中風疾病發生的原因，並探討其間之相關性。以中部某醫學中心復健科腦中風住院病患為研究對象，共獲得74位病例組與83位健康民眾對照組。
病例組部份使用「個案醫院腦中風護理評估表」及「中國人A型量表」進行資料收集，對照組問卷與病例組相同，並採用敘述性統計、卡方檢定、勝算比、獨立樣本T檢定、邏輯斯迴歸進行資料分析。
其主要結果分析歸納如下：
一、 血型及腦中風家族史與中老年人罹患腦中風疾病之間呈現負相關趨勢。
二、 教育程度與中老年人罹患腦中風疾病之間呈現正相關趨勢。
三、 職業與中老年人罹患腦中風疾病之間呈現負相關趨勢。
四、 生活型態與中老年人罹患腦中風疾病之間呈現正相關趨勢的因素有：抽菸、喝酒、嗜好興趣、慢性心血管病史、高血壓、糖尿病、糖尿病規律服藥、運動習慣、定期健檢、自覺健康、焦慮狀況。
五、 人格特質與中老年人罹患腦中風疾病之間呈現負相關趨勢。

關鍵字

腦中風 ； 梗塞性腦中風 ； 出血性腦中風 ； 人格特質

並列摘要

Abstract

The purpose of this study is to identify the major causes and among interactions of the cerebral vascular accident (CVA) in the middle-aged and aged people. This study includes 74 cases as experiment group, and 83 cases as control group which design is under the base of rehabilitation unit in a medical center of the middle Taiwan.
Two questionnaires were asked to fill out in both groups above for data collection. One is called “Stoke Nursing Assessment Sheet”, and the other is “Type A Behavior Pattern Scale for the Chinese People”. Data analysis comprises descriptive statistics, Chi-square analysis, Odds Ratio, Independent T test and Logistic Regression.
Results:
1. Personal family history and blood type (A, B, or O type) are not significant risk factors to CVA of the people above 50 years old.
2. Personal educational level is a significant risk factor to CVA of the people above 50 years old.
3. The occupational classification is not a significant risk factor to CVA of the people above 50 years old.
4. Personal life style (such as smoking; drinking; hobby interest; suffered from chronic cardio-vascular disease, hypertension, or diabetes; regular medical control; regular exercise; regular health examination; self-health monitoring; anxiety status. ) is a significant risk factor to CVA of the people above 50 years old.
5. The special personality is not a significant risk factor to CVA of the people above 50 years old.

並列關鍵字

stroke ； CVA ； ischemic stroke ； hemorrhagic stroke ； personality characteristic

參考文獻

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