Li Xuhui, Zhang Qingfang, Yan Jie, Wang Yulong, Long Jianjun, Lv Xing, Chen Miaoling, Chen Wensheng
Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong province, China.
Sci Rep. 2025 Aug 12;15(1):29594. doi: 10.1038/s41598-025-14246-y.
Falls are common during stroke rehabilitation, leading to physical injuries and psychosocial consequences. While prior studies have explored the association between falls and life satisfaction, the effect of fall-related injury severity remains unclear. This multicenter cross-sectional study included 6,068 stroke inpatients undergoing rehabilitation. Standardized face-to-face interviews were conducted to collect data on fall experiences within the past three months, severity of fall-related injuries, life satisfaction, and other demographic and clinical characteristics. Logistic regression models were used to analyze the relationships between fall experiences, injury severity, and life satisfaction. After adjusting for confounding factors such as age, sex, and activities of daily living, patients who had experienced a fall in the past three months exhibited significantly lower life satisfaction (OR = 0.77, 95% CI: 0.61-0.98, P = 0.0325). However, no significant association was observed between the severity of fall-related injuries and life satisfaction (P > 0.05). These findings highlight the need for fall prevention and psychosocial support in stroke rehabilitation to improve well-being. Future research should explore the mechanisms linking fall-related injuries and life satisfaction to refine rehabilitation strategies.
跌倒在中风康复过程中很常见，会导致身体受伤和心理社会后果。虽然先前的研究探讨了跌倒与生活满意度之间的关联，但跌倒相关损伤严重程度的影响仍不明确。这项多中心横断面研究纳入了6068名正在接受康复治疗的中风住院患者。通过标准化的面对面访谈收集过去三个月内跌倒经历、跌倒相关损伤的严重程度、生活满意度以及其他人口统计学和临床特征的数据。使用逻辑回归模型分析跌倒经历、损伤严重程度和生活满意度之间的关系。在调整年龄、性别和日常生活活动等混杂因素后，过去三个月内经历过跌倒的患者生活满意度显著较低（OR = 0.77，95% CI：0.61 - 0.98，P = 0.0325）。然而，未观察到跌倒相关损伤严重程度与生活满意度之间存在显著关联（P > 0.05）。这些发现凸显了在中风康复中预防跌倒和提供心理社会支持以改善幸福感的必要性。未来的研究应探索跌倒相关损伤与生活满意度之间的关联机制，以完善康复策略。
