Perceived participation and its correlates among first-stroke survivors at six months after discharge from a tertiary hospital in China

Publication date: Available online 26 October 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Xuemei Chen, Yanan He, Xianmei Meng, Chenchen Gao, Zhihui Liu, Lanshu Zhou
ObjectivesTo describe perceived participation of first-stroke survivors in mainland China, and to determine variables that may correlate with perceived participation six months after discharge.DesignCross-sectional survey.SettingNeurology department of a tertiary hospital in Shanghai, China, with subsequent follow-up of patients in their homes.SubjectsTwo hundred and thirty-six first-stroke survivors who had been treated in the neurology department and discharged six months prior to their participation in our study.InterventionNot applicable.MeasuresParticipation was assessed using the Chinese version of the self-report Impact on Participation and Autonomy questionnaire. Performance on activities of daily living was measured using the Barthel Index and physical function was measured with the Chinese Stroke Scale. The Hospital Anxiety and Depression Scale and the Social Support Rating Scale were also used.ResultsMean score of perceived participation was 40.39±15.29. 52.1%, 38.1%, 33.1% and 5.5% of the participants reported insufficient participation in domains of autonomy outdoors, family role, social relations and autonomy outdoors respectively. Physical function served as the strongest correlate for domains of family role and autonomy outdoors (standardized coefficients =0.426 and 0.336); while depression was strongest correlate for domains of social relations ((standardized coefficients = 0.315).ConclusionsPhysical function and activities of daily living were significantly associated with perceived participation in almost all domains. Depression was an important correlater of participation in the social relations domain. Perceived participation may be influenced by multiple factors and tailored strategies should be implemented early in the rehabilitation phase post-stroke to promote participation in all domains of daily living.



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