Lee Jung-Lim, Kim Yuna, Huh Sungchul, Shin Yong-Il, Ko Sung-Hwa
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.
Department of Rehabilitation Medicine, Pusan National University Yangsan Hospital, Yangsan 50612, Republic of Korea.
Healthcare (Basel). 2024 Mar 20;12(6):697. doi: 10.3390/healthcare12060697.
This study aimed to examine the physical activity and exercise status of stroke patients in the community after discharge and the need for community-based exercises. This study included 100 community-dwelling patients with stroke in South Korea. The survey investigated the self-assessment of health status and physical activity, demand for community-based exercise after discharge, quality of life, and social participation. Overall, 96% of the respondents recognized the need to exercise, and two-thirds exercised. The third who did not exercise cited disability (29%), lack of facilities (22%), and health concerns (13%); only 21% of participants had ever used a community exercise facility, and their satisfaction with the facility was low. The main reasons for not using community exercise facilities were concerns about accidents during exercise and accessibility issues. Among real-world community stroke patients, those who exercised regularly had higher EuroQol-5D and reintegration to normal living indices than those who did not exercise ( < 0.05). Although community-dwelling stroke patients were highly aware of the need for physical activity and exercise, few engaged in adequate exercise. This lack of engagement is directly linked to identifiable personal and socio-structural barriers. Addressing these barriers will improve the quality of life and social participation of patients with stroke.
本研究旨在调查社区中脑卒中患者出院后的身体活动及锻炼状况，以及对社区锻炼的需求。本研究纳入了韩国100名社区居住的脑卒中患者。该调查研究了健康状况和身体活动的自我评估、出院后对社区锻炼的需求、生活质量及社会参与情况。总体而言，96%的受访者认识到锻炼的必要性，三分之二的人进行锻炼。未锻炼的三分之一人群中，提及残疾（29%）、缺乏设施（22%）和健康问题（13%）；只有21%的参与者曾使用过社区锻炼设施，且他们对该设施的满意度较低。不使用社区锻炼设施的主要原因是担心锻炼期间发生意外及可达性问题。在现实社区的脑卒中患者中，定期锻炼者的欧洲五维健康量表（EuroQol-5D）得分及恢复正常生活指数高于未锻炼者（P<0.05）。尽管社区居住的脑卒中患者高度意识到身体活动及锻炼的必要性，但很少有人进行充分锻炼。这种参与不足与可识别的个人及社会结构障碍直接相关。解决这些障碍将改善脑卒中患者的生活质量和社会参与度。
