White Jennifer H, Alston Megan K, Marquez Jodie L, Sweetapple Anne L, Pollack Michael R, Attia John, Levi Christopher R, Sturm Jonathan, Whyte Scott
Hunter Stroke Service, Rankin Park Centre, John Hunter Hospital, Hunter New England Area Health Service, and Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, New South Wales, Australia.
Arch Phys Med Rehabil. 2007 Sep;88(9):1140-6. doi: 10.1016/j.apmr.2007.06.003.
To compare function and quality of life in community-dwelling stroke survivors at 1, 3, and 5 years after stroke.
A community-based, cross-sectional study of 3 retrospective cohorts.
Community-dwelling stroke survivors in Australia.
The 3 cohorts comprised 30 participants each at 1, 3, and 5 years poststroke discharge from a tertiary referral hospital.
Not applicable.
Stroke severity, comorbidity, medications used, and demographic information were recorded. Poststroke function was assessed using the Modified Rankin Scale, Mini-Mental State Examination, Stroke Impact Scale, and Multidimensional Scale of Perceived Social Support.
This cross-sectional study provides insights into trends in stroke survivors over time. A high proportion of stroke survivors use community services, even those who are independent with activities of daily living. Although there was little attrition in medication use over time except for warfarin, this was from a baseline of suboptimal compliance and adherence with stroke preventive therapies. Stroke survivors report high levels of perceived social support; however, emotional well-being was low overall. The data suggest that those who are independent at 1 year tend to remain independent, although this was an extrapolation from serial cross-sections and needs to be explored in a longitudinal study.
Stroke survivors' function does not change significantly over time. A high proportion of survivors require community services. The development of needs-related effective long-term service delivery models is required.
比较社区中卒中幸存者在卒中后1年、3年和5年的功能及生活质量。
一项基于社区的3个回顾性队列的横断面研究。
澳大利亚社区中的卒中幸存者。
3个队列分别由从三级转诊医院出院后1年、3年和5年的30名参与者组成。
不适用。
记录卒中严重程度、合并症、使用的药物及人口统计学信息。采用改良Rankin量表、简易精神状态检查表、卒中影响量表及多维感知社会支持量表评估卒中后的功能。
这项横断面研究揭示了卒中幸存者随时间变化的趋势。很大一部分卒中幸存者使用社区服务，即使是那些日常生活能够自理的人。除华法林外，随着时间推移药物使用情况变化不大，但这是基于卒中预防治疗依从性和持续性欠佳的基线情况。卒中幸存者报告感知到的社会支持水平较高；然而，总体情绪健康状况较差。数据表明，1年时能够自理的人往往能保持自理，不过这是从系列横断面研究推断得出的，需要在纵向研究中进一步探讨。
卒中幸存者的功能随时间变化不大。很大一部分幸存者需要社区服务。需要制定与需求相关的有效的长期服务提供模式。
