Quality of life following stroke: Negotiating disability, identity, and resources
Quality of life following stroke: Negotiating disability, identity, and resources
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DOI：
10.1177/0733464805277976
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发表时间：
2005-08-01
影响因子：
3
通讯作者：
Black, SE
中科院分区：
文献类型：
--
作者：
Clarke, P;Black, SE
中风后残留的身体和认知障碍可能对幸存者的生活质量构成重大威胁。然而，功能残疾和主观生活质量之间并不总是直接的一对一的关系。本研究采用质性访谈的方法，探讨了影响脑卒中后生活质量因素的复杂性。结果表明，中风对幸存者的生活质量有显著影响，但有些人找到了适应功能障碍的方法，并报告了高生活质量。这一进程的共同要素包括重新安排优先事项，将重点放在那些被认为对个人身份最突出的活动上;然后利用现有资源，包括保健服务和社会支助，维持一种习俗活动，即使是经过修改的形式，保留个人身份的突出方面，并在他或她的生活中保持一种社区感。
Residual physical and cognitive impairments following a stroke can pose a significant threat to a survivor's quality of life. Yet, there is not always a direct one-to-one correlation between functional disability and subjective quality of life. This research investigated the complexity of factors that influence quality of life after stroke, using qualitative interviews. Results indicate that a stroke has a significant impact on the quality oflife of survivors, but some individuals find ways to adapt to their functional disabilities and report a high quality oflife. Common elements of this process consist of reordering priorities to focus on those activities considered most salient to an individual's identity; then drawing on existing resources, including health services and social supports, to maintain a customary activity, even in a modified form, retaining salient aspects of the individual's identity and maintaining a sense of community in his or her life.