Aran Orkun Tahir, Köse Barkın, Erikson Gunilla, Guidetti Susanne
Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Occupational Therapy Department, Gülhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey.
J Public Health Res. 2023 Oct 8;12(4):22799036231204321. doi: 10.1177/22799036231204321. eCollection 2023 Oct.
Clinical guidelines for stroke rehabilitation and practices vary between high and low/middle-income countries (LMICs). Knowledge of the perceived impact of stroke in Turkey is limited. Understanding these perceptions can serve as a basis for developing rehabilitation.
The aim was to investigate and compare the perceived impact of stroke in two groups of people living in Ankara. A cross-sectional study with 150 participants divided by stroke onset (Group I: stroke onset <12 months; Group II: >12 months) was conducted. The Barthel Index was used to describe the level of independence in daily living activities and stroke severity. The Stroke Impact Scale (SIS 3.0) was used to investigate the perceived impact of stroke.
The proportion of mild strokes was 78 and 82%, respectively, and 46% of participants in the total sample were moderately dependent. The impact of stroke was high; mean domain scores were below 50 in six of the eight SIS domains.
Turkish stroke survivors perceived a higher impact of stroke regardless of the time passed since stroke onset, compared to survivors from other countries, including other LMICs. The high impact among survivors with mostly mild stroke indicates that Turkish survivors might not receive adequate rehabilitation. The content of rehabilitation services needs to be developed, and an evaluation of individually tailored interventions, preferably with a multidisciplinary approach, is warranted to find ways to decrease the perceived impact of stroke among Turkish stroke survivors.
高收入国家与低收入/中等收入国家（LMICs）的中风康复临床指南及实践存在差异。关于中风在土耳其的感知影响的了解有限。理解这些认知可为制定康复方案提供依据。
目的是调查和比较居住在安卡拉的两组人群对中风的感知影响。进行了一项横断面研究，150名参与者按中风发病时间分组（第一组：中风发病<12个月；第二组：>12个月）。采用巴氏指数描述日常生活活动中的独立水平和中风严重程度。使用中风影响量表（SIS 3.0）调查中风的感知影响。
轻度中风的比例分别为78%和82%，总样本中46%的参与者为中度依赖。中风的影响较大；在八个SIS领域中的六个领域，平均领域得分低于50。
与包括其他低收入/中等收入国家在内的其他国家的幸存者相比，土耳其中风幸存者无论中风发病后经过的时间如何，都感知到中风的影响更大。大多数为轻度中风的幸存者中影响较大，这表明土耳其幸存者可能未得到充分的康复。需要制定康复服务内容，并且有必要对个体化定制的干预措施进行评估，最好采用多学科方法，以找到降低土耳其中风幸存者中风感知影响的方法。
