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社交活动对中风后三年的生活满意度有独立的贡献。

Social activity contributes independently to life satisfaction three years post stroke.

机构信息

Rudolf Magnus Institute of Neuroscience and Centre of Excellence for Rehabilitation Medicine, University Medical Centre Utrecht and De Hoogstraat, Utrecht, The Netherlands.

出版信息

Clin Rehabil. 2011 May;25(5):460-7. doi: 10.1177/0269215510388314. Epub 2010 Nov 8.

DOI:10.1177/0269215510388314
PMID:21059668
Abstract

OBJECTIVE

To determine social activity and life satisfaction three years post stroke and to investigate the contribution of social activity to life satisfaction controlled for the influence of demographic, physical and cognitive disabilities and social support.

DESIGN

Cross-sectional study.

SUBJECTS

One hundred and sixty-five patients with a stroke.

MAIN MEASURES

The Life Satisfaction questionnaire (LiSat-9), the Social Support List - Interaction (SSL-12-I), the Barthel Index, the Mini-Mental State Examination (MMSE) and the Frenchay Activities Index.

RESULTS

In total, 165 stroke patients participated, of whom 112 (67.9%) reported that they were satisfied with life as a whole. Socially inactive patients were significantly less often satisfied (50%, n = 26) than socially moderately (74.4%, n = 64) and socially highly active (81.5%, n = 22) patients. Lowest satisfaction ratings were found for sexual life (40.6%, n = 58). The socially inactive group was most satisfied with their partner relationship (85.1%, n = 40), the moderately and highly socially active group with their self-care ability (87.2%, n = 75 and 96.3%, n = 26, respectively). ADL and social activity were moderately correlated with life satisfaction. Social activity was found to explain an additional variance of the LiSat-9 total score (6.9%) and overall life satisfaction item (5.2%) after controlling for demographic variables, social support, ADL and cognitive functioning.

CONCLUSIONS

Three years post stroke, many patients report ongoing dissatisfaction with various life domains. Social activity was related to life satisfaction.

摘要

目的

确定中风后 3 年的社会活动和生活满意度,并调查社会活动对生活满意度的贡献,控制人口统计学、身体和认知残疾以及社会支持的影响。

设计

横断面研究。

受试者

165 名中风患者。

主要测量

生活满意度问卷(LiSat-9)、社会支持清单-互动(SSL-12-I)、巴氏指数、简易精神状态检查(MMSE)和 Frenchay 活动指数。

结果

共有 165 名中风患者参与,其中 112 名(67.9%)报告对整体生活感到满意。社会活动较少的患者明显不如社会活动适度(74.4%,n=64)和社会活动高度活跃(81.5%,n=22)的患者满意。性生活动满意度最低(40.6%,n=58)。不活跃的社会群体对伴侣关系最满意(85.1%,n=40),中度和高度活跃的社会群体对自理能力最满意(87.2%,n=75 和 96.3%,n=26)。ADL 和社会活动与生活满意度呈中度相关。在控制人口统计学变量、社会支持、ADL 和认知功能后,发现社会活动可以解释 LiSat-9 总分(6.9%)和整体生活满意度项目(5.2%)的额外差异。

结论

中风后 3 年,许多患者报告在各个生活领域持续感到不满。社会活动与生活满意度有关。

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