脑卒中幸存者参与的感知自主性——一项横断面研究

Ballur Bhavani S, Bhatbolan Sudhir V, Divate Ashwini
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引用次数: 0

摘要

背景和目的在全球范围内,中风会对身体功能、社会参与和整体生活质量产生显著的负面影响。这可能会对患者的自主性和参与性产生不良影响。本研究的目的是确定中风幸存者参与的感知自主性。方法本研究经上海市医学院伦理委员会批准。根据研究标准,招募亚急性期或慢性期社区住宅卒中幸存者参与研究。通过对患者参与与自主性影响问卷(IPAQ)的问卷调查,了解患者对参与与自主性的认知。结果在10581名男性参与者和24名女性参与者中,有32.38人认为自己的参与感觉很好,48.57人认为自己的参与感觉很好,19.05人认为自己的参与感觉很差。使用Kruskal Wallis ANOVA进行IPAQ平均评分比较,报告自我护理独立的患者与其他类别相比p = 0.0460。比较IPAQ得分的Mann-Whitney U测试显示,回归工作类别的自主性感知显著良好(p 0.0001)。本研究得出的结论是,大多数研究人群认为他们的参与和自主权,无论是在整体上还是在所有领域的参与和自主权,在参与和自主权影响问卷IPAQ中都是非常好的。那些重返工作岗位并能独立自理的中风幸存者报告了最好的自主感知
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceived Autonomy of Participation among Stroke Survivors - A Cross Sectional Study
Background and Objectives Globally stroke results in significant negative consequences in relation to physical functions social participation and overall quality of life. It may undesirably affect the perception of the patient in terms of his autonomy and participation. This study was conducted with an objective to determine the perceived autonomy of participation among stroke survivors.Method The study was approved by Institutional Ethics Committee of SDMCMSH. Community dwelling stroke survivors in sub-acute or chronic phases were recruited for participation in the study as per the study criteria. The patientsrsquo responses to Impact on Participation and Autonomy Questionnaire IPAQ were used to understand their perception of autonomy and participation.Results Among 105 81- male and 24- female participants who responded to the IPAQ 32.38 reported lsquovery goodrsquo perception of participation while 48.57 reported lsquogood-fairrsquo participation and 19.05 reported lsquopoor-very poorrsquo participation. Mean IPAQ score comparison using Kruskal Wallis ANOVA was significantly better among patients who reported to be independent for self-care in comparison to other categories p 0.0460. Mann-Whitney U test comparing IPAQ scores showed significantly good perception of autonomy in Return-to-work category p 0.0001.Conclusion This study concluded that majority of the study population perceived their participation and autonomy both overall and within all domains as assessed on Impact on Participation and Autonomy Questionnaire IPAQ as lsquovery goodrsquo to lsquofairrsquo. Stroke survivors who returned to work and were independent for self-care reported best perception of autonomy.nbsp
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