Article

The purpose of the project was to identify characteristics associated
with successful re-integration into the community post-inpatient rehabilitation
after stroke. A key issue was determining re-integration from the person's
perspective, taking into account the person's preferred lifestyle choices.
METHOD: Research design:
A prospective exploratory follow up study. Participants:
A consecutive sample of 45 participants discharged from IP rehabilitation
following stroke and 23 carers associated with the participants. Measures: Goal
attainment scaling was utilised to determine successful community integration.
Factors that may have contributed to goal achievement were measured prior to
discharge and at 6 months post-discharge. Scales used include the Functional
Independence Measure, Mini Mental test, the CES-D depression scale and a
self-efficacy scale, Strategies Used by People to Promote Health. London Handicap
Scale scores and Carer Strain Index were collected at 6 months. RESULTS: Twenty
percent of participants achieved all their goals. Significant correlations were
observed between goal achievement score and concurrent measures of physical
function, depression and self efficacy at 6 months post-discharge. CONCLUSIONS:
Stroke survivors who achieved their goals were less likely to be depressed,
showed stronger self efficacy beliefs and more positive perceptions of their participation in everyday and community life.

Langue : ANGLAIS