Clark M S, Smith D S
Rehabilitation and Ageing Studies Unit, Repatriation General Hospital, Daws Park, Australia.
Disabil Rehabil. 1998 Mar;20(3):90-6. doi: 10.3109/09638289809166061.
This study examined the stroke knowledge of 60 stroke rehabilitation patients, 46 spouses, 25 family members, and 103 people in the general community. Changes in stroke knowledge with time, and determinants of stroke knowledge, were also examined. Clinical participants were assessed on acute admission, admission to and discharge from rehabilitation, and 6 and 12 months after discharge. Community participants were assessed once. Instruments used were the Stroke Care Information Test, Australian ADL Index, Frenchay Activities Index, Illness Behaviour Questionnaire and Zung Self-rating Depression Scale. The stroke knowledge of all participants, particularly patients, was poor, but improved with time. Better-informed patients were younger, had milder strokes, were less depressed, were less likely to develop abnormal illness behaviour, and made a better functional recovery than patients with poorer knowledge. Structured information programmes are needed for stroke patients and their families. Improved community awareness of stroke may help the prospects for recovery and quality of life for people who have strokes.
本研究调查了60名中风康复患者、46名配偶、25名家庭成员以及103名普通社区居民的中风知识。同时还研究了中风知识随时间的变化情况以及中风知识的决定因素。临床参与者在急性入院时、康复入院时、康复出院时以及出院后6个月和12个月接受评估。社区参与者仅接受一次评估。使用的工具包括中风护理信息测试、澳大利亚日常生活活动指数、弗伦奇活动指数、疾病行为问卷和zung自评抑郁量表。所有参与者，尤其是患者，中风知识水平较低，但随时间有所改善。知识较丰富的患者更年轻，中风症状较轻，抑郁程度较低，出现异常疾病行为的可能性较小，并且与知识较匮乏的患者相比，功能恢复情况更好。中风患者及其家属需要结构化的信息项目。提高社区对中风的认知可能有助于中风患者的康复前景和生活质量。
