| Co-Investigator(Kenkyū-buntansha) |
TANIHARA Shinichi Jichi Medical School, Department of Public Health, Senior Researcher, 医学部, 助手 (40285771)
NAKAMURA Yosikazu Jichi Medical School, Department of Public Health, Associate Professor, 医学部, 助教授 (50217915)
|
|---|
| Budget Amount *help |
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 1998: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1997: ¥1,900,000 (Direct Cost: ¥1,900,000)
|
|---|
| Research Abstract |
Purpose : The purpose of this study is to find factors related to social prognosis after stroke.
Methods : A cohort of the 516 surviving patients after stroke who admitted to six major hospitals in Tochigi prefecture in 1993 was observed. A baseline survey was conducted through home visit interview by trained nurses and public health nurses between November 1994 and January 1995. Two endpoints were analysed in this study. One endpoint was admission to hospitals or old-age-homes over six months, and death. The other endpoint was social activities. Endpoint data was collected by home visit interview survey between October 1996 and January 1997. Cox's proportional hazard models and multiple logistic models were used, and sex, age, and ADL were treated as confounding factors.
Results : In the baseline survey the response rate was 89.7% (463/516). Among 463 patients, survivors until the baseline survey were 423. In the endpoint survey, the follow up rate was 79.4% (336/423). The hazard ratios (95% CI) of major preventive factors are as follows ; social activities 0.11 (0.02-0.59), using care instruments 0.17 (0.05-0.60), reforming house 0.19(0.05-0.82), bathing delivery 0.20(0.05-0.90), using day-care service 0.22 (0.03-1.67), eating many vegetables 0.34(0.15-0.74), eating much protein 0.35 (0.16-0.76), under medical care 0.42 (0.17-1.01). For social activities, the odds ratios are as follows : occupation after stroke 4.54 (p<0.01), own home 12.5 (p<0.01) for personal activities. Having friends 1.96 (p<0.05) for social participation. Over 3 persons for family members 2.11 (p<0.05) for activities about study. Drinking 2.66 (p<0.05), having hobby or role 2.71 (p<0.05) for occupation.
|
