Martins Dos Santos Heyriane, Pereira Gabriela Santos, de Oliveira Leia Cordeiro, Da Silva Paula Karina, Gonçalves Lima Michael, Faria Christina Danielli C De Morais, Silva Soraia Micaela
Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil.
Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Disabil Rehabil. 2024 Apr;46(7):1366-1373. doi: 10.1080/09638288.2023.2196444. Epub 2023 Apr 8.
To identify the main biopsychosocial factors associated with disability level after stroke using the International Classification of Functioning, Disability and Health (ICF) model.
A cross-sectional study was conducted with chronic stroke survivors. Disability was assessed using the World Health Disability Assessment Schedule 2.0. The independent variables were: Body functions: emotional functioning and whether the dominant upper limb was affected. For the Activities & Participation component, satisfaction regarding the execution of activities and participation were assessed using the SATIS-Stroke, as well as the locomotion ability for adults (ABILOCO), manual ability (ABILHAND) and the return to work. For environmental factors, income and facilitators and obstacles were assessed using the Measure of the Quality of the Environment (MQE). Personal factors: age and sex. Multiple Linear Regression was employed.
Limited locomotor ability (β = -0.281; t = -3.231 = 0.002), dissatisfaction regarding activities and participation (β = -0.273; t = -3.070 = 0.003), and the non-return to work (β = 0.162; = 2.085 = 0.04) were associated with disability.
The reduction in locomotor ability, dissatisfaction regarding activities and participation and the non-return to work were associated with disability in the chronic phase following a stroke.
使用国际功能、残疾和健康分类（ICF）模型确定与中风后残疾水平相关的主要生物心理社会因素。
对慢性中风幸存者进行了一项横断面研究。使用世界卫生组织残疾评估量表2.0评估残疾情况。自变量包括：身体功能：情绪功能以及优势上肢是否受影响。对于活动与参与部分，使用中风满意度量表（SATIS-Stroke）评估对活动执行和参与的满意度，以及成年人的运动能力（ABILOCO）、手动能力（ABILHAND）和重返工作情况。对于环境因素，使用环境质量测量量表（MQE）评估收入、促进因素和障碍。个人因素：年龄和性别。采用多元线性回归分析。
运动能力受限（β = -0.281；t = -3.231，P = 0.002）、对活动和参与不满意（β = -0.273；t = -3.070，P = 0.003）以及未重返工作（β = 0.162；t = 2.085，P = 0.04）与残疾相关。
运动能力下降、对活动和参与不满意以及未重返工作与中风后慢性期的残疾相关。
