Suttiwong Jatuporn, Vongsirinavarat Mantana, Hiengkaew Vimonwan
Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand.
Ann Rehabil Med. 2018 Oct;42(5):660-669. doi: 10.5535/arm.2018.42.5.660. Epub 2018 Oct 31.
To describe perceived participation among persons with first stroke and to identify the predictors based on the International Classification of Functioning, Disability and Health (ICF) concept of participation after stroke.
A total of 121 participants completed 4 questionnaires: the Impact on Participation and Autonomy (IPA), Personal Resource Questionnaire (PRQ2000), Hospital Anxiety and Depression Scale (HADS), and personal history. They were evaluated for their balance, motor function, functional and walking ability.
The majority of participants perceived participation restriction in family role as poor to very poor. The best predictors of participation included social support, walking and balance, functional ability, number of secondary health problems and affected side, account for 66.6% of the variances in participation.
The study highlights the importance of social support, walking and balance performance, functional ability in daily living, and number of secondary health problems after stroke. These factors that facilitate participation after stroke should be addressed by health personnel during rehabilitation.
描述首次中风患者的感知参与情况，并根据国际功能、残疾和健康分类（ICF）中风后参与概念确定预测因素。
共有121名参与者完成了4份问卷：参与和自主影响问卷（IPA）、个人资源问卷（PRQ2000）、医院焦虑抑郁量表（HADS）以及个人病史。对他们的平衡、运动功能、功能和步行能力进行了评估。
大多数参与者认为在家庭角色中的参与受限程度为差到极差。参与的最佳预测因素包括社会支持、步行和平衡、功能能力、继发性健康问题数量和患侧，占参与方差的66.6%。
该研究强调了社会支持、步行和平衡表现、日常生活功能能力以及中风后继发性健康问题数量的重要性。康复期间，卫生人员应关注这些促进中风后参与的因素。
