中风后参与度的长期变化。

Long-term changes in participation after stroke.

作者信息

Desrosiers Johanne, Rochette Annie, Noreau Luc, Bourbonnais Daniel, Bravo Gina, Bourget Annick

机构信息

Department of Rehabilitation, Research Center on Aging, University Institute of Geriatrics of Sherbrooke, Université de Sherbrooke, Québec, Canada.

出版信息

Top Stroke Rehabil. 2006 Fall;13(4):86-96. doi: 10.1310/tsr1304-86.

DOI:10.1310/tsr1304-86

PMID:17082173

Abstract

BACKGROUND AND PURPOSE

People who have had a stroke may have difficulty resuming some of their previous activities, which leads to a decline in their participation in daily activities and social roles. The purposes of this study were to compare participation 6 months (T1) and between 2 and 4 years (T2) after discharge from a rehabilitation unit and to verify if any changes were associated with changes in personal and environmental factors.

METHOD

Participation of people who had had a stroke was measured at T1 and T2 with the Assessment of Life Habits.

RESULTS

A significant reduction (p < .001) in participation in daily activities was observed, specifically in the following categories: nutrition, p < .001; fitness, p = .004; personal care, p < .001; and housing, p = .001. However, participation in social roles was maintained during this period (p = .10). The increased perception of technology as a facilitator (environmental factor) over time explained a part of the decline in participation (R2 = 0.13).

CONCLUSION

Factors associated with the reduction in participation in daily activities should be further studied in order to prevent this decline.

摘要

背景与目的

中风患者在恢复之前的一些活动时可能会遇到困难，这导致他们参与日常活动和社会角色的程度下降。本研究的目的是比较康复单元出院后6个月（T1）和2至4年（T2）时的参与度，并验证是否有任何变化与个人和环境因素的变化相关。

方法

在T1和T2时，使用生活习惯评估量表对中风患者的参与度进行测量。

结果

观察到日常活动参与度显著降低（p <.001），具体体现在以下类别：营养，p <.001；健康，p =.004；个人护理，p <.001；以及住房，p =.001。然而，在此期间社会角色的参与度得以维持（p =.10）。随着时间推移，对技术作为促进因素（环境因素）的认知增加，解释了参与度下降的部分原因（R2 = 0.13）。