Birgitta Langhammer1, Katharina S Sunnerhagen2, Johan K Stanghelle3,4, Susanne Sällström3, Frank Becker3,4, Kerstin Fugl-Meyer5,6. 1. Faculty of Health, Sunnaas Rehabilitation Hospital, Oslo and Akershus University College, Oslo, Norway. 2. Department of Clinical Neuroscience, Faculty of Medicine, University of Gothenburg, Göteborg, Sweden. 3. Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway. 4. Faculty of Medicine, University of Oslo, Oslo, Norway. 5. Division of Social Work, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden. 6. Department of Social Work, Karolinska University Hospital, Solna, Sweden.
Abstract
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.
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.
Entities:
Keywords:
Life satisfaction; rehabilitation; stroke
Authors: Dale C Strasser; Judith A Falconer; Alan B Stevens; Jay M Uomoto; Jeph Herrin; Susan E Bowen; Andrea B Burridge Journal: Arch Phys Med Rehabil Date: 2008-01 Impact factor: 3.966