Well-being and instrumental activities of daily living after stroke.
OBJECTIVE
To explore the relationship between subjective well-being and competence in instrumental activities of daily living after stroke.


METHODS
Cross-sectional with evaluation at six months post stroke.


METHODS
Eighty-two patients admitted to an acute stroke unit, of whom 64 were seen at six months. The mean age was 77.5 years, 55% were females and 55% were living alone.


METHODS
The General Health Questionnaire (GHQ-20 version), a well-being scale, was factor analysed and yielded three dimensions, named 'coping', 'anxiety' and 'satisfaction' that served as main outcomes.


RESULTS
Explanatory variables were the four subscales of the Nottingham IADL scale, the Ullevaal Aphasia Screening test, urinary continence and demographics. Structural equation modelling showed that the GHQ dimension 'satisfaction' related significantly to the Nottingham subscale 'leisure activities' (beta = -0.38, p = 0.01), whereas 'coping' was indirectly associated with 'leisure activities' by its correlation with 'satisfaction' (R = 0.26, p = 0.01). None of the outcomes were statistically associated with aphasia, continence or the background variables.


CONCLUSIONS
'Leisure activities' demonstrated the strongest association to subjective well-being as expressed by the 'satisfaction' dimension. In stroke rehabilitation leisure activities should be addressed when assessing function and planning intervention.
Sveen
Unni
U
Department of Geriatric Medicine, Ullevål University Hospital, Oslo, Norway. unni.sveen@ulleval.no
Thommessen
Bente
B
Bautz-Holter
Erik
E
Wyller
Torgeir Bruun
TB
Laake
Knut
K
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D011998:Recreation; D020521:Stroke / Q000150:complications / Q000523:psychology*; D000071939:Stroke Rehabilitation; D014549:Urinary Incontinence