Department of Health Science, Luleå University of Technology, SE-971 87 Luleå, Sweden.
J Rehabil Med. 2010 Feb;42(2):155-61. doi: 10.2340/16501977-0497.
To describe self-reported life satisfaction of younger persons after stroke and to investigate differences between men and women and factors associated with life satisfaction.
A cross-sectional study.
Subjects were all persons after stroke, aged 18-55 years, registered in the Swedish National Quality Register for Stroke Care. A questionnaire was completed by 1068 individuals 8-36 months after stroke. Perceived Life Satisfaction was measured with LiSat-9.
Less than half of the participants were satisfied with life as a whole. For women, significant associations were found between not being satisfied with life as a whole and haemorrhage (odds ratio (OR) 4.00) as well as a deteriorated ability to concentrate (OR 2.11). For men, significant associations were found to be not having a significant other (OR 3.17), not working (OR 2.26) and deteriorated ability to concentrate (OR 2.04).
There were different factors for being satisfied with life as a whole between men and women, indicating a need for a more gender-specific rehabilitation than is currently used. The impact that deteriorated ability to concentrate has on life satisfaction is an important finding that needs to be considered in the rehabilitation process of younger patients after stroke.
描述年轻卒中患者的自我报告生活满意度，并调查男性和女性之间的差异以及与生活满意度相关的因素。
一项横断面研究。
所有研究对象均为年龄在 18-55 岁之间、在瑞典国家卒中护理质量登记处注册的卒中后患者。1068 名患者在卒中后 8-36 个月完成了一份问卷。采用 LiSat-9 量表评估感知生活满意度。
不到一半的参与者对整体生活感到满意。对于女性，与整体生活不满意显著相关的因素包括脑出血（优势比（OR）4.00）和注意力集中能力下降（OR 2.11）。对于男性，与不满意整体生活显著相关的因素包括没有重要他人（OR 3.17）、不工作（OR 2.26）和注意力集中能力下降（OR 2.04）。
男性和女性对整体生活满意的因素不同，表明需要比目前更具针对性别的康复，而注意力集中能力下降对生活满意度的影响是一个重要的发现，需要在卒中后年轻患者的康复过程中加以考虑。
