从幸存者的角度看中风后的生活：横断面描述性研究

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-03-26 DOI:10.1016/j.cegh.2025.102001

Isha Manjalamkunnel Aboobacker , Namitha Subrahmanyam , Kalesh M. Karun , Leena Kunnath Chacko

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引用次数: 0

摘要

中风会导致全球残疾，并极大地影响个人的身体、认知和情感健康。了解影响康复的因素对于制定干预措施促进中风幸存者的独立性和自主性至关重要。本研究探讨脑卒中幸存者的自我效能、功能能力、生活质量和对照顾者的感知依赖之间的关系。材料与方法本研究采用描述性横断面设计的定量方法。采用方便抽样技术，从选定的喀拉拉邦埃纳库拉姆区一家三级保健医院的神经住院部共招募了148名年龄在35-65岁之间的中风幸存者。收集数据的工具为：社会人口学量表、临床量表、中风自我效能问卷、Barthel指数、中风特定生活质量量表和对照顾者感知依赖的李克特量表。Spearman相关和Mann-Whitney/Kruskal-Wallis检验或方差分析(p <；采用0.05)进行数据分析。结果研究显示卒中幸存者的自我效能2分（0,6）、功能能力35分（20,40）、生活质量58分（49,67）和感知依赖56分（55,58）的中位得分较低。生活质量与自我效能显著相关(rs = 0.526, p <；0.001)和功能能力(rs = 0.523, p <；0.001)，而与感知的照顾者依赖性呈负相关(rs = -0.249, p <；0.001)。结论脑卒中幸存者的生活质量与自我效能感、功能能力和对照顾者的感知依赖显著相关。卫生保健专业人员可以通过优化护理要求和启动护士主导的康复授权计划来改善中风的结果。

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Life after stroke from Survivors perspective: A descriptive cross-sectional study

Introduction

Stroke contributes to the global disability and greatly affects the physical, cognitive and emotional wellbeing of an individual. Understanding the factors that influence recovery is crucial for developing interventions that promote independence and autonomy among stroke survivors. The present study examines the relationship between self-efficacy, functional ability, quality of life and perceived dependence on caregiver among stroke survivors.

Materials and methods

A Quantitative approach with descriptive-cross sectional design was adopted in the study. By using convenient sampling technique, a total of 148 stroke survivors within the age group of 35–65 years were recruited from the neuro inpatient department of a selected tertiary care hospital of Ernakulam district, Kerala. The tools used to collect the data were, The socio demographic proforma, Clinical proforma, The Stroke Self-Efficacy Questionnaire, The Barthel Index, The Stroke Specific Quality of Life Scale, and Likert scale on Perceived dependence on caregiver. Spearman's correlation and Mann-Whitney/Kruskal-Wallis test or ANOVA (p < 0.05) was used for data analysis.

Results

The study revealed low median scores for self-efficacy 2(0,6), functional ability 35(20,40), Quality of life 58(49,67) and perceived dependence 56(55,58) among stroke survivors. Quality of life was significantly related to self-efficacy (r_s = 0.526, p < 0.001) and functional ability (r_s = 0.523, p < 0.001) whereas a negative correlation was observed with perceived caregiver dependence (r_s = -0.249, p < 0.001).

Conclusion

Quality of life of stroke survivors was significantly related with Self-efficacy, Functional ability and Perceived dependence on caregiver. Health care professionals can improve stroke outcomes by optimizing the care requisites and by initiating Nurse-Led Rehabilitation empowerment programs.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.