Oosterveer Daniëlla M, Mishre Radha Rambaran, van Oort Andrea, Bodde Karin, Aerden Leo A M
Rehabilitation medicine, Rijnlands rehabilitation centre, 2333AL Leiden, The Netherlands.
J Rehabil Med. 2017 Mar 6;49(3):223-227. doi: 10.2340/16501977-2199.
Life satisfaction is reduced in stroke patients. However, as a rule, rehabilitation goals are not aimed at life satisfaction, but at activities and participation. In order to optimize life satisfaction in stroke patients, rehabilitation should take into account the determinants of life satisfaction. The aim of this study was therefore to determine what factors are independent determinants of life satisfaction in a large group of patients early after stroke.
Stroke-surviving patients were examined by a specialized nurse 6 weeks after discharge from hospital or rehabilitation setting. A standardized history and several screening lists, including the Lisat-9, were completed. Step-wise regression was used to identify independent determinants of life satisfaction.
A total of 284 stroke-surviving patients were included in the study. Of these, 117 answered all of the Lisat-9 questions. Most patients (66.5%) rated their life as a whole as "satisfying" or "very satisfying". More depressive symptoms were independently associated with lower life satisfaction (p < 0.001).
Most stroke-surviving patients are satisfied with their life early after a stroke. The score on the Hospital Anxiety and Depression Scale depression items is independently associated with life satisfaction. Physicians should therefore pay close attention to the mood of these patients.
中风患者的生活满意度会降低。然而，通常康复目标并非针对生活满意度，而是针对活动和参与度。为了优化中风患者的生活满意度，康复应考虑生活满意度的决定因素。因此，本研究的目的是确定哪些因素是一大群中风后早期患者生活满意度的独立决定因素。
出院或康复后6周，由专业护士对中风幸存者进行检查。完成了标准化病史和包括Lisat - 9在内的几份筛查清单。采用逐步回归法确定生活满意度的独立决定因素。
本研究共纳入284名中风幸存者。其中，117人回答了Lisat - 9的所有问题。大多数患者（66.5%）对自己的整体生活评价为“满意”或“非常满意”。更多的抑郁症状与较低的生活满意度独立相关（p < 0.001）。
大多数中风幸存者在中风后早期对自己的生活感到满意。医院焦虑抑郁量表抑郁项目的得分与生活满意度独立相关。因此，医生应密切关注这些患者的情绪。
