Clarke P J, Lawrence J M, Black S E
Department of Public Health Sciences, and the Institute for Human Development, Life Course and Aging, University of Toronto, Toronto, Ontario, Canada.
J Stroke Cerebrovasc Dis. 2000 May-Jun;9(3):121-7. doi: 10.1053/jscd.2000.5868.
The purpose of this study was to investigate the longitudinal patterns of recovery of quality of life over the first year after stroke to understand the factors that are influential in this process.
A sample of 116 stroke survivors with mild to moderate impairment was followed-up at 3 months and at 1 year after stroke onset. Changes in scores on a quality of life measure were assessed in association with changes in impairment and disability over this 9-month period. The use of rehabilitation services over the first year was also documented.
The quality of life of these survivors improved over the first year after stroke. Improvements in motor disability and depressive symptoms were found to be associated with improvements in quality of life. Additionally, survivors receiving rehabilitation therapy reported an improvement in quality of life that was independent of changes in disability and depressive symptoms.
Opportunities to enhance the quality of life of stroke survivors exist throughout the first year of recovery. Improvements in functional ability and depression are important for long-term improvements in quality of life. Rehabilitation therapy is a potentially important resource.
本研究旨在调查卒中后第一年生活质量恢复的纵向模式，以了解在此过程中有影响的因素。
对116名轻度至中度功能障碍的卒中幸存者样本在卒中发作后3个月和1年进行随访。在这9个月期间，评估生活质量测量得分的变化，并将其与功能障碍和残疾的变化相关联。还记录了第一年康复服务的使用情况。
这些幸存者的生活质量在卒中后的第一年有所改善。运动功能障碍和抑郁症状的改善与生活质量的提高相关。此外，接受康复治疗的幸存者报告生活质量有所改善，且这与残疾和抑郁症状的变化无关。
在恢复的第一年，提高卒中幸存者生活质量的机会始终存在。功能能力和抑郁状况的改善对生活质量的长期改善很重要。康复治疗是一种潜在的重要资源。
