The Follow-up Study Of Acute Cerebral Infarction Patients And The Psychological Stress Status Of Community Habitants In Wenchuan Earthquake Disaster

With social economy progress,people living standard enhancement and health service development,the health status enhances unceasingly in recent years.The health status is related with the healthy consciousness,the diet structure,the life style,the income level and the medical condition,besides congenital factor.In our research,the health status of acute cerebral infarction patients in convalescence stage and the psych-health status of habitants in Wenchuan earthquake disaster were studied to promote rational use of health resources and provide the foundation of evidence-based medicine.1.Stroke is the most common disease,which is badly endangering human life and health now.It brings heavy economic and mental burden to patient and the society.Therefore,the health status of acute cerebral infarction patient was evaluated by Stroke-Specific Quality of Life Scale(SS-QOLS) and the National Institutes of Health Stroke Scale(NIHSS) in order to improve the patient prognosis,the quality of life and instruct the clinical treatment.QOL of acute cerebral infarction patient decline generally,especially in work ability and social activity,which reflects that the patient with acute cerebral infarction are sick after living space narrowing,loss of society's workforce,there is a certain mental stress,and bring the more disease burden for family and society.Therapy in hospital at different grades has no different effect on QOL,which prompt the patient should choose the second or more than second grade hospital in nearby cities.Moreover,the patient should receive treatments as soon as possible.Patient with different lesion region has no different nerve function improvement,but clinician can control the medical and inspect expense,and try best to reduce the payment of acute cerebral infarction patient.Neural function recovery of patient after different treatments has no different,which remind clinician to be cautious using expensive medicine and unnecessary therapy,which can reduce the medical cost and lessen economic burden of patient.These studies provide scientific and reasonable suggestions to both patient and clinician,and it also provide dependable evidences of evidence-based medicine for policy development of government and the relevant departments.On the one hand,the patient should be taken to the nearest medical institution.It is useless to choose the major general hospital for the QOL of acute cerebral infarction patient.On the other hand,the clinician should formulate clinical treatment plan,according to the developed requirements of pathogenetic condition,choose low-cost treatments plan and degrade economic burden.At the same time,it is clinician's responsibility to pay attention to the psychological,emotional and spiritual guidance of the patient,and reduce the stress of spirit during treatment simultaneously,which is important for patient to recover and integrate into family and society early.2.The Wenchuan earthquake caused not only the heavy loss of life and property,but also a serious impact of the living and health conditions, especially the psychological state of victims cannot restore to normal levels in a short period,which caused widespread concern.In this study,survey area is Shifang,the earthquake-stricken city.We investigated the health status of habitants after the earthquake and understand the extent of psychological damage,in order to provide the reference for the basis treatment after the earthquake and the foundation for the national post-earthquake reconstruction work.These findings confirm the Wenchuan earthquake,as a disastrous stress event,impact on the health status of habitants.Habitants had different changes after the earthquake.There is evident anxiety,depression and psychiatric symptoms.As a result,combined with providing emergency material aid,it is necessary to enhance the awareness of natural disasters and disaster prevention awareness,train and educate disaster-related knowledge,establish the efficient mechanisms for emergency medical treatment and psychological assessment,which should be paid close attention by the government department and the general health workers.