Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Division of Occupational Therapy, Stockholm, Sweden.
J Rehabil Med. 2011 Apr;43(5):388-97. doi: 10.2340/16501977-0789.
To describe perceived participation and autonomy among a sample of persons with stroke in Iran and to identify different aspects of functioning and contextual factors predicting participation after stroke.
A cross-sectional study.
A total of 102 persons, between 27 and 75 years of age, diagnosed with first-ever stroke.
Participants were assessed for different aspects of functioning, contextual factors and health conditions. Participation was assessed using the Persian version of the Impact on Participation and Autonomy questionnaire.
This study demonstrated that the majority of the study population perceived their participation and autonomy to be good to fair in the different domains of their participation, but not with respect to the autonomy outdoors domain. In addition, physical function was found to be the most important variable predicting performance-based participation, whereas mood state was the most important variable predicting social-based participation.
The results emphasize the importance of physical function, mood state and access to caregiving services as predictors of participation in everyday life after stroke. Whilst there are two dimensions of participation in this Persian sample of persons with stroke, the factors explaining participation seem to be the same across the cultures.
描述伊朗某一卒中患者样本的感知参与度和自主性，并确定不同功能方面和预测卒中后参与度的情境因素。
横断面研究。
共 102 名年龄在 27 至 75 岁之间、首次被诊断为卒中的患者。
对参与者的不同功能方面、情境因素和健康状况进行评估。使用参与和自主影响问卷的波斯语版本评估参与度。
本研究表明，大多数研究人群在参与度的不同领域中对其参与度和自主性的感知良好，但在户外自主性领域则不然。此外，身体功能被认为是预测基于表现的参与度的最重要变量，而情绪状态则是预测基于社会的参与度的最重要变量。
结果强调了身体功能、情绪状态和获得护理服务作为卒中后日常生活参与度的预测因素的重要性。尽管在这个有卒中患者的波斯样本中有两个参与维度，但解释参与度的因素在不同文化中似乎是相同的。
