scholar.google.com/scholar_url?hl=en&q=http://onlinelibrary.wiley.com/doi/10.1111/j.1471-6712.2012.01041.x/full&sa=X&scisig=AAGBfm2T2YmJENfaodapoQm4PunldoHvgw&oi=scholaralrt
Background and Purpose: Stroke causes
complex disability and function, and perceived quality of life has been
shown to correlate with satisfaction with care as well as with life in
general among stroke patients. The aim of this study was to study the
relation of satisfaction with how rehabilitation was provided with
self-perceived quality of life, self-perceived function and
rehabilitation received, 12 months after the incidence.
Method:
The subjects were assessed 12 months after the onset of stroke. The
Barthel index was used to measure function, and the EuroQol-5D to
measure quality of life. To measure satisfaction with how rehabilitation
was provided, a questionnaire from the Swedish Stroke Register was
used.
Results: Two hundred and
eighty-three patients participated in the follow-up, 137 women and 146
men, aged between 42 and 95 years (mean age 75.2, SD 11.8). For the
majority of patients rehabilitation was initiated at in-hospital care
(directly after onset). One hundred and sixty-eight patients considered
that rehabilitation was well provided for. Sixty-six regarded that the
rehabilitation was only partly provided for and 35 that it was not
provided for at all. High value on Barthel Index was associated with
satisfaction with how rehabilitation was provided for (OR 2.81). Also,
rehabilitation on three or more levels was negatively associated with
satisfaction with rehabilitation provision (OR 0.24) and so was being
male (OR 0.49).
Conclusion: In
this study, patients with higher values on Barthel Index were more
satisfied with how rehabilitation was provided for. However, male
patients and patients who received rehabilitation on three or more
levels of care were less satisfied. Given the assumption that patients
with more severe dysfunction after stroke are being rehabilitated on
more levels, this might imply that it is not the amount of
rehabilitation that gives satisfaction but the patients self-perceived
function after rehabilitation.
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