Abstract
BACKGROUND:
In this study we investigated conversation groups as a complement to ordinary physical rehabilitation. This type of treatment has earlier been shown beneficial in younger patients.
METHOD:
17 stroke patients aged 65 years or older were included constituting two male groups and two mixed groups. Each group met 1,5 hour a week during ten weeks together with a psychologist and a doctor. The patients led the meetings supported by the professionals. The functional status and quality of life of the patients were assessed by Katz ADL-index and Short-Form-36. The psychologists made semi-structured interviews after the intervention.
RESULTS:
Immediately after the intervention social role function and social function had improved while mental health was impaired. The group processes developed faster in male groups than in mixed groups. The stroke profile of the patients had an impact on the group processes. The ADL-function improved in almost half of the patients.
CONCLUSION:
Conversation-groups as above may be a complementary treatment form in the rehabilitation of elderly post stroke patients with positive effect on quality of life and ADL. The prerequisites of this concept must be a structure in time and form of the groups together with professionally supportive tutors.