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Well-being after stroke in Canadian seniors - findings from the Canadian study of health and aging
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CLARKE P; MARSHALL V; BLACK SE
STROKE , 2002, vol. 33, n° 4, p. 1016-1021 Doc n°: 104744 Localisation : Documentation IRR Descripteurs : MA - GERONTOLOGIE, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX Url : http://stroke.ahajournals.org/cgi/content/full/33/4/1016 After a stroke many people continue to live with their residual impairments and disabilities in the community, which can pose a significant problem for survivors' well-being. The purpose of this research was to investigate patterns of well-being in community-dwelling stroke survivors to identify those factors that restrict and enhance well-being. METHODS: A secondary analysis was conducted on data from the second wave of the Canadian Study of Health and Aging (CSHA-2). A national sample of 5395 community-dwelling Canadian seniors (aged > or =65 years) was interviewed for CSHA-2, including 339 stroke survivors (6.3%). Information was collected on health, social and demographic characteristics, and well-being. Comparisons were made between the health and functional status of stroke survivors and community-dwelling seniors who have not experienced a stroke. Multiple regression was used to examine the factors associated with well-being in stroke survivors. RESULTS: Compared with community-dwelling seniors who have not experienced a stroke, stroke survivors report a lower sense of well-being. Stroke survivors are also more likely to be restricted in their physical and cognitive function, to report worse mental health, and to be living with a greater number of comorbid health conditions. Mental health and physical and cognitive disabilities are associated with a reduced sense of well-being in stroke survivors, but social supports and educational resources moderate the impact of functional status on well-being. CONCLUSIONS: Community-dwelling seniors who have had a stroke experience a reduced sense of well-being. However, social resources can help to alleviate the subjective burden of this common neurological condition. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 2002222681 |
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