Influence of Environmental Factors on Social Participation Post-Stroke
Influence of Environmental Factors on Social Participation Post-Stroke
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DOI：
10.1155/2019/2606039
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发表时间：
2019-01-01
影响因子：
2.8
通讯作者：
Connor, Lisa Tabor
中科院分区：
文献类型：
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作者：
Foley, Erin L.;Nicholas, Marjorie L.;Connor, Lisa Tabor
目标.对于康复专业人员来说，为了充分解决中风后患者参与社会活动的问题，必须更好地理解神经行为，即神经功能障碍及其后遗症和环境因素如何支持或限制社会参与。本研究探讨了卒中严重程度（NIH卒中量表），其对感知移动性（卒中影响量表移动领域）的影响，以及环境（MOS社会支持-积极社会互动量表和卒中环境接受性和建筑环境领域的测量）如何影响社会参与（活动卡分类：ACS）。方法.一个相关的，横断面设计研究神经功能障碍，活动，环境因素和社会参与的感知限制之间的关系。参与者包括48名中风后至少6个月的失语症患者（N=22）和无失语症患者（N=26），他们生活在社区中，所有措施均可用于分析。结果失语症患者和非失语症患者在社会参与方面没有差异，尽管两组患者都报告了中风前社会活动的参与率大幅下降（25-30%）。对于ACS的社会领域活动和ACS的合作伙伴做的活动（保留百分比），分别占37%和35%的方差，预测变量，只有MOS社会支持作出独立的贡献，社会参与。在这个样本中，神经功能障碍与社会参与没有显著相关性。此外，感知的流动性和建筑环境没有被发现独立预测参与社会活动。结论.感知社会支持被发现预测社会参与的个人生活在社区中风后6个月或更长时间。在脑卒中后康复过程中关注社会支持可能为增加社会参与和更成功地重返社区提供途径。
Objectives. For rehabilitation professionals to adequately address meaningful participation in social activities with their patients after a stroke, there must be a better understanding of neurobehavior, that is, how neurological impairment and its sequelae and environmental factors support or limit social participation. The current study examines how stroke severity (NIH Stroke Scale), its impact on perceived mobility (Stroke Impact Scale mobility domain), and the environment (MOS Social Support-Positive Social Interactions scale and Measure of Stroke Environment receptivity and built environment domains) influence social participation (Activity Card Sort: ACS). Methods. A correlational, cross-sectional design examined the relationships among neurological impairment, perceived limitations in activity, environmental factors, and social participation. Participants included 48 individuals who were at least 6 months post-stroke both with aphasia (N=22) and without aphasia (N=26) living in the community for whom all measures were available for analysis. Results. No differences in social participation were found between those with and without aphasia, though both groups reported a large (25-30%) decline in participating in their prestroke social activities. For the ACS Social Domain activities and ACS Partner to Do With activities (percent retained), 37% and 35% of the variance, respectively, was accounted for by the predictor variables, with only MOS Social Support making an independent contribution to social participation. In this sample, neurological impairment was not a significant correlate of social participation. Additionally, perceived mobility and the built environment were not found to independently predict participation in social activities. Conclusions. Perceived social support was found to predict social participation in individuals living in the community 6 months or greater post-stroke. Focusing on social support during post-stroke rehabilitation may provide an avenue for increased social participation and more successful community reintegration.