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Life satisfaction in persons with severe stroke – A longitudinal report from the Sunnaas International Network (SIN) stroke study

Artikel i vetenskaplig tidskrift
Författare Birgitta Langhammar
Katharina Stibrant Sunnerhagen
Johan Stanghalle
Susanne Sällström
Frank Becker
Kerstin Fugl-Meyer
Publicerad i European stroke journal
Volym 2
Nummer/häfte 2
Sidor 154-162
ISSN 2396-9873
Publiceringsår 2017
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Sidor 154-162
Språk en
Länkar doi.org/10.1177/2396987317695140
Ämnesord life satisfaction, rehabilitation, stroke
Ämneskategorier Neurovetenskaper

Sammanfattning

Introduction The overall aim of the present study was to explore perceived life satisfaction in persons with stroke, from admission to specialised rehabilitation until follow up 1 year post-discharge. The secondary aim was to evaluate possible external and internal explanatory factors for perceived life satisfaction. Patients and methods A prospective, descriptive study of specialised rehabilitation of persons with stroke. Persons with a primary diagnosis of stroke were enrolled in the study. Results Overall, total score on LiSat-11 showed that life was perceived as satisfying by 11% on admission, 21% at discharge, 25% at 6 and 31% at 12 months after discharge from rehabilitation, reported by 230 participating persons with stroke. Repeated measurement indicated significant differences of total life satisfaction between clinics, also when controlled for disability and severity. The items “sexual life,” “health,” and “vocational life”/“financial” were most dissatisfying at the various reported time points. The linear regression analysis revealed an equal amount of internal and external explanatory factors at the different time points, explaining between 16% and 41% of the variations. Discussion and conclusion The perceived life satisfaction was reported as low/dissatisfying at the four stated time points in all the participating clinics. Four items were especially vulnerable post-stroke: vocational situation, sexual life, physical health and mental health. Both internal and external factors contributed to life satisfaction, such as gender, severity of stroke, marital status, country, models of rehabilitation, occupational status, length of stay (LOS), number of therapies and hours in therapy. However, there were significant differences between clinics, indicating that unidentified factors may also influence life satisfaction.

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