CHANGES IN THE IMPACT OF STROKE BETWEEN 3 AND 12 MONTHS POST-STROKE, ASSESSED WITH THE STROKE IMPACT SCALE
CHANGES IN THE IMPACT OF STROKE BETWEEN 3 AND 12 MONTHS POST-STROKE, ASSESSED WITH THE STROKE IMPACT SCALE
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DOI：
10.2340/16501977-1865
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发表时间：
2014-11-01
影响因子：
3.5
通讯作者：
Eriksson, Gunilla
中科院分区：
文献类型：
--
作者：
Guidetti, Susanne;Ytterberg, Charlotte;Eriksson, Gunilla
目的：研究脑卒中后3个月和12个月使用脑卒中影响量表3.0 （SIS）收集的数据，并探讨与年龄、性别和脑卒中严重程度相关的日常生活中有临床意义的变化。设计：前瞻性纵向研究。方法：共204人在中风发作后3个月和12个月使用SIS进行评估。领域得分随时间的变化以及与年龄、性别和中风严重程度的关系被计算出来。结果：在3个月和12个月时，力量、手功能和参与领域的感知影响最大，表明在日常生活中存在问题。无论中风严重程度、年龄或性别如何，12个月时中风恢复明显高于3个月时。对力量和情绪领域的影响在12个月时明显低于3个月时。大多数有临床意义的变化，无论是积极的还是消极的（15分），都出现在参与领域和卒中恢复方面。几乎没有变化与年龄、性别或中风严重程度有关。结论：脑卒中后3 ~ 12个月均有与脑卒中影响相关的阳性和阴性临床意义改变。因此，密切关注患者在康复期间和出院时对日常生活状况的感知是很重要的。
Objective: To examine data collected using the Stroke Impact Scale 3.0 (SIS) at 3 and 12 months post-stroke, and to explore any clinically meaningful changes in everyday life in relation to age, gender and stroke severity.Design: Prospective longitudinal study.Methods: A total of 204 persons were assessed using the SIS at 3 and 12 months after onset of stroke. Changes in domain scores were calculated over time and in relation to age, gender and stroke severity.Results: The Strength, Hand Function and Participation domains had the highest perceived impact at 3 and 12 months, indicating problems in everyday life. Stroke recovery was perceived to be significantly higher at 12 than at 3 months irrespective of stroke severity, age or gender. The impact on the Strength and Emotion domains was significantly lower at 12 months than at 3 months. Most clinically meaningful changes, both positive and negative ( 15 points), were seen in the Participation domain and in Stroke recovery. Few changes were associated with age, gender or stroke severity.Conclusion: Both positive and negative clinically meaningful changes related to impact of stroke were found between 3 and 12 months post-stroke. Therefore it is important to pay close attention to patients' perceptions of their everyday life situation during rehabilitation and at discharge.