Self-Assessed Physical, Cognitive, and Emotional Impact of Stroke at 1 Month: The Importance of Stroke Severity and Participation

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• 作者：Karin Tö ; rnbom ; MSSc^* ; ^&dagger ; ; ^{karin.tornbom@neuro.gu.se} ; Hanna C. Persson ; PhD^* ; ^&dagger ; ; Jö ; rgen Lundä ; lv ; PhD^&Dagger ; ; Katharina S. Sunnerhagen ; MD ; Phd^* ; ^&dagger ;
• 关键词：Stroke ; social participation ; rehabilitation ; physical function
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：26
• 期：1
• 页码：57-63
• 全文大小：371 K
• 卷排序：26

文摘

The aims of this study were to describe the self-assessed physical, emotional, and cognitive impact of stroke and to investigate associations with participation and stroke severity in early stage (1 month) poststroke.MethodsParticipants (n = 104, mean age = 68) with reduced upper extremity function assessed at day 3 were included from a Swedish stroke unit. Participants were evaluated with The National Institutes of Health Stroke Scale at arrival, median 7.9 (0-24). The cohort was assessed for their perceived impact of stroke with the Stroke Impact Scale at 1 month poststroke.ResultsThe perceptions of emotional health, communication skills, and ability to remember were perceived as quite good, with a mean score of 83-86. However, nearly 60% reported limitations in participation. This group also evaluated their physical function to be significantly lower compared to participants who did not report limitations in participation.ConclusionsOne month poststroke, a lower score on self-assessed physical function was associated with both a perceived restriction in participation and a more severe stroke. The association of physical function and perceived participation at 1 month poststroke needs to be taken into account when planning the early rehabilitation.