Choi Young-Ah, Kim Yeo Hyung
Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Healthcare (Basel). 2023 May 14;11(10):1420. doi: 10.3390/healthcare11101420.
We examined self-reported reasons for activity limitations among Korean community-dwelling stroke survivors, focusing on age and sex differences. Data from 1547 stroke survivors who participated in the Korean National Health and Nutrition Examination Survey were analysed. The study outcomes were the self-reported reasons for activity limitations, encompassing general medical factors and stroke-related problems. These reasons were compared by age (<65 vs. ≥65 years) and sex using a complex-sample chi-square test. Stroke survivors reported different musculoskeletal, medical, and neurological problems as reasons for activity limitations, which differed by age and sex. Older stroke survivors reported more problems related to dementia, memory loss, auditory problems, back or neck problems, arthritis, or leg pain than younger survivors. Women reported more psychiatric problems, headaches or dizziness, back or neck problems, arthritis, gastrointestinal problems, and dental or oral problems than men. Older and female stroke survivors reported a higher mean number of reasons for activity limitations compared to younger and male survivors. Thus, a tailored approach considering age and sex is necessary to help stroke survivors with activity limitations in the Korean community. This study highlights the importance of considering demographic factors when designing interventions to improve their quality of life.
我们研究了韩国社区中风幸存者活动受限的自我报告原因,重点关注年龄和性别差异。对1547名参与韩国国民健康与营养检查调查的中风幸存者的数据进行了分析。研究结果是活动受限的自我报告原因,包括一般医学因素和中风相关问题。使用复杂样本卡方检验按年龄(<65岁与≥65岁)和性别对这些原因进行了比较。中风幸存者报告了不同的肌肉骨骼、医学和神经问题作为活动受限的原因,这些原因因年龄和性别而异。与年轻幸存者相比,老年中风幸存者报告的与痴呆、记忆力丧失、听力问题、背部或颈部问题、关节炎或腿部疼痛相关的问题更多。女性报告的精神问题、头痛或头晕、背部或颈部问题、关节炎、胃肠道问题以及牙齿或口腔问题比男性更多。与年轻和男性幸存者相比,老年和女性中风幸存者报告的活动受限原因平均数量更高。因此,在韩国社区,需要一种考虑年龄和性别的量身定制方法来帮助有活动受限的中风幸存者。这项研究强调了在设计改善中风幸存者生活质量的干预措施时考虑人口统计学因素的重要性。