Postoperative quality of life for patients with hypertensive cerebral hemorrhage in the basal ganglia

Abstract

Objective To explore the life quality of postoperative patients after a hypertensive cerebral hemorrhage in the basal ganglia and the factors influencing it, so as to provide evidence for improving the life quality of such patients. Methods A total of 128 patients were studied retrospectively. Their gender, age, occupation, marital status, education level, place of residence and family size were tabulated, as well as whether or not they were living with their children, smoking or drinking alcohol. Their household income was recorded along with their clinical condition during surgery (midline shift, blood loss, operative time, whether a hernia occurred, consciousness, and whether bleeding broke into the ventricles. The SF-36 health measurement scale was used to evaluate the patients′ life quality, and the factors influencing it were analyzed. Results Univariate analysis showed that: (1) Their physiological functioning (PF) and global health (GH) were mainly affected by age, marital status, family size, midline shift, quantity of cerebral hemorrhage, occurrence of herniation, consciousness and whether the hemorrhage broke into the ventricles. (2) Their physiological role (RP) was influenced by marital status, education background, household monthly income, midline shift, consciousness and whether the hemorrhage broke into the ventricles. (3) Pain (BP) was mainly affected by marital status and family size. (4) Social functioning (SF) was closely related to marital status, family size, consciousness and whether hemorrhage broke into the ventricles. (5) Their mental health (MH) was mainly affected by the amount of bleeding, whether they were living with their children, the operation′s duration and whether the hemorrhage broke into the ventricles. (6) Their emotions (RE) were influenced by their consciousness and whether bleeding broke into the ventricles. (7) Their vitality (VT) was affected by their marital status, smoking, consciousness and whether the bleeding broke into the ventricles. Multivariate analysis showed that whether the hemorrhage broke into the ventricles was the most influential factor. Family size was also influential. Conclusions Age, number of family members, whether they are living with their children, and whether hemorrhage broke into the ventricles are all influential in predicting the life quality of survivors of hypertensive cerebral hemorrhage in the basal ganglia. Key words: Hypertension; Cerebral hemorrhage; Basal ganglia; Postoperative patients; Quality of life