Viitanen M, Fugl-Meyer K S, Bernspång B, Fugl-Meyer A R
Department of Geriatric Medicine, University of Umeå, Sweden.
Scand J Rehabil Med. 1988;20(1):17-24.
Different aspects of the quality of life before and after stroke were registered for 62 communicable, representative long-term (4-6 years) survivors, who reported the global and domain specific life satisfaction that they experienced (7 items, 6 graded-ordinal scales). Reference subjects were 60 healthy individuals in two age cohorts (60-61 years, n = 34; 79-81 years, n = 26) none of whom had been hospitalized during the last seven years prior to the investigation. The main finding is that, after the stroke, at least one aspect of the quality of life had decreased for 61% of them; this concerned global, sexual and leisure satisfaction mainly. Moreover, persisting motor impairment and ADL-disability had a negative effect on several aspects of life satisfaction. As nearly 30% of the non-impaired and the non-disabled interviewees reported decreased global life satisfaction, these changes indicate that they do not cope psychosocially with the stroke as such nor with its sequelae. In contrast, the levels of life satisfaction were similar for the 60-61 and 79-81 year-old interviewees, clinically healthy respondents, indicating stability in the quality of life that they experienced from late middle age into senectitude. For the patients, social integration estimated normatively did not covariate significantly with post-stroke satisfaction derived from social relationships.
对62名具有代表性的长期（4 - 6年）中风幸存者的中风前后生活质量的不同方面进行了记录，这些幸存者报告了他们所经历的总体和特定领域的生活满意度（7项，6个分级有序量表）。参照对象为两个年龄组的60名健康个体（60 - 61岁，n = 34；79 - 81岁，n = 26），在调查前的最后七年中，他们均未住院。主要发现是，中风后，61%的患者至少有一个生活质量方面下降；这主要涉及总体、性和休闲满意度。此外，持续的运动障碍和日常生活活动能力残疾对生活满意度的多个方面有负面影响。由于近30%未受损和未残疾的受访者报告总体生活满意度下降，这些变化表明他们在心理社会层面上无法应对中风本身及其后遗症。相比之下，60 - 61岁和79 - 81岁的临床健康受访者的生活满意度水平相似，这表明他们从中年后期到老年期所经历的生活质量具有稳定性。对于患者而言，从规范角度估计的社会融合与中风后从社会关系中获得的满意度并无显著相关性。
