Ekechukwu Nelson, Olaleye Olubukola, Hamzat Talhatu
Department of Medical Rehabilitation, College of Medicine, University of Nigeria, Enugu, Nigeria.
Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Ethiop J Health Sci. 2017 Jan;27(1):27-34. doi: 10.4314/ejhs.v27i1.5.
There appears to be a dearth of published literature on the biopsychosocial predictors of community reintegration (CR) among stroke survivors. This study aims to investigate the clinical and psychosocial predictors of CR among stroke survivors three months post in-hospital discharge.
Fifty-two stroke survivors took part in this prospective exploratory study. The participants' clinical attributes of motor function (MF), balance (Bal) and psychosocial characteristics of Fall Self-Efficacy (FSE), Balance Self-Efficacy (BSE), Self-Esteem (SEst) and Social Support (SS) were assessed pre-discharge and at three months post-discharge. CR was also assessed at three months post-discharge. Data were analyzed using paired t-test, Pearson's Moment correlation and multiple regressions. Level of significance was set at p = 0.05.
The mean age of the participants was 61.21±11.25 years with mean hospital length of stay of 5.31±3.71weeks. There were significant differences in the mean MF, Bal, FSE, BSE, SEst and SS scores of the participants pre- and post-discharge (p < 0.05). Also, there was a significant correlation between CR and each of MF, Bal, FSE, BSE, SEst and SS. Pre-discharge Age (β = -0.226, p = 0.001) and FSE (β = 1.387, p = 0.040) significantly predicted CR. Post-discharge age (β = -0.164, p = 0.005) and Bal (β = 0.142, p = 0.048). FSE (β = 1.243, p = 0.034) also significantly predicted CR.
Age, Bal and FSE are important predictors of CR among stroke survivors. Therefore, rehabilitation programmes should focus on improving Bal and FSE in order to enhance community reintegration among stroke survivors.
关于中风幸存者社区重返（CR）的生物心理社会预测因素，似乎缺乏已发表的文献。本研究旨在调查中风幸存者出院后三个月时CR的临床和心理社会预测因素。
52名中风幸存者参与了这项前瞻性探索性研究。在出院前和出院后三个月评估参与者的运动功能（MF）、平衡（Bal）等临床属性以及跌倒自我效能（FSE）、平衡自我效能（BSE）、自尊（SEst）和社会支持（SS）等心理社会特征。在出院后三个月也对CR进行了评估。使用配对t检验、皮尔逊积矩相关和多元回归分析数据。显著性水平设定为p = 0.05。
参与者的平均年龄为61.21±11.25岁，平均住院时间为5.31±3.71周。参与者出院前后的平均MF、Bal、FSE、BSE、SEst和SS评分存在显著差异（p < 0.05）。此外，CR与MF、Bal、FSE、BSE、SEst和SS中的每一项之间都存在显著相关性。出院前年龄（β = -0.226，p = 0.001）和FSE（β = 1.387，p = 0.040）显著预测CR。出院后年龄（β = -0.164，p = 0.005）和Bal（β = 0.142，p = 0.048）、FSE（β = 1.243，p = 0.034）也显著预测CR。
年龄、Bal和FSE是中风幸存者CR的重要预测因素。因此，康复计划应侧重于改善Bal和FSE，以增强中风幸存者的社区重返能力。
