Is there a relation between neuropsychologic variables and quality of life after stroke?

被引:66
作者
Hochstenbach, JB
Anderson, PG
van Limbeek, J
Mulder, TT
机构
[1] Univ Groningen, No Ctr Brain Damage Aftercare, NL-9713 BZ Groningen, Netherlands
[2] Acad Hosp Groningen, Dept Rehabil Med, Groningen, Netherlands
[3] Inst Movement Sci, Groningen, Netherlands
[4] St Maartensklin Res, Nijmegen, Netherlands
[5] St Maartensklin Rehabil Ctr, Nijmegen, Netherlands
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2001年 / 82卷 / 10期
关键词
cerebrovascular accident; neuropsychological tests; quality of life; rehabilitation;
D O I
10.1053/apmr.2001.25970
中图分类号
R49 [康复医学];
学科分类号
100215 [康复医学与理疗学];
摘要
Objectives: To describe the quality of life (QOL) of stroke patients and to distill neuropsychologic predictors for poor QOL. Design: A cohort study in which patients were neuropsychologically assessed at a mean of 72.2 days after stroke, with follow-up at a mean of 9.8 months after stroke. Setting: Research department of a rehabilitation center. Patients: A consecutive sample of 164 stroke patients (mean age, 55.2yr) recruited from a university hospital, a regional hospital, and a rehabilitation center. Interventions: Not applicable. Main Outcome Measures: Orientation, memory, attention and concentration, visuospatial and visuoconstructive functions, language, and arithmetic skills were assessed with neuropsychologic tests. QOL was assessed with the Sickness Impact Profile (SIP). Results: An overall mean SIP score standard deviation of 20 +/- 11 showed that stroke has a high impact on everyday functioning. Further analyses indicated that QOL is related in particular to tests measuring spatiotemporal and/or sequential aspects of behavior. Forward/backward stepwise regression analysis (n = 106) showed that poor QOL was more likely if patients had a poor result on the Trailmaking Test (TMT) B and/or were women. Conclusion: The predictive value of the TMT is most effective and very useful because the TMT is a short and economical procedure. However, the gender-related aspects of recovery deserve more attention, as does the possible bias that can be caused by the composition of a measurement. Further research is needed to refine predictive models that are needed to facilitate the development of more adequate, individual rehabilitation programs.
引用
收藏
页码:1360 / 1366
页数:7
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