The long-term consequences of subarachnoid haemorrhage. 2: Prevalence of instrumental ADL disabilities

Abstract

A total of 244 long-term survivors of subarachnoid haemorrhage (SAH) were examined at a follow-up concerning change in instrumental activities of daily living (IADL). A decrease from previous independence prevailed for 51 % of the sample. As expected, home-maintenance activities were more common pre-SAH for women than for men, and for these activities post-SAH disabilities were most frequently recorded for married/cohabiting women. Using factor analysis, IADL items could be grouped into three different factors characterizing: (a) domestic and social activities, (b) administrative chores and (c) handling money or the telephone. Two of these factors were logically associated with two or three impairments (language, motor, perception, long- and short-term memory). Since IADL disabilities are common among long- term survivors of SAH, the need for rehabilitation and occupational therapy is discussed briefly.

Get full access to this article

View all access options for this article.

References

Lindberg M. , Fogelsjöö A. , Ängquist K-A. , Larsson C. , Fugl-Meyer AR. The long-term consequences of subarachnoid haemorrhage. 1: Prevalence of impairments. Clin Rehabil 1996 ; 10: 71-76.

Säveland H. , Sonesson B. , Ljunggren B. et al. Outcome evaluation following subarachnoid hemorrhage. J Neurosurg 1986; 64: 191-96.

Hernesniemi J. , Vapalahti M. , Niskanen M. et al. One-year outcome in early aneurysm surgery: a 14 years experience. Acta Neurochir ( Wien) 1993; 122: 1-10.

Lawton MP , Brody EM Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969; 9: 179-86.

Kabanoff B. Work and nonwork: a review of models, methods and findings. Psychol Bull 1980; 88: 60-77.

Lemon BW , Bengtson VL , Peterson JA An exploration of the activity theory of aging: activity types and life satisfaction among in-movers to a retirement community. J Gerontol 1972; 27: 511-23.

Sjögren K. Sexuality and leisure after stroke - with special reference to coping and rehabilitation [Thesis]. Umeå, Sweden, Umeå University, 1982. New Series No 79,

Karlsson JC The concept of work. Definitions, ideologies and social forms. Lund, Sweden: Arkiv, 1956.

Lindberg M. , Angquist K-A. , Fodstad H. , Fugl-Meyer K, Fugl-Meyer AR. Self-reported prevalence of disability after subarachnoid haemorrhage - with special emphasis on return to leisure and work. Br J Neurosurg 1992; 6: 297-304.

10.

Branholm I. -B, Fugl-Meyer AR. On non-work activity preferences: relationships with occupational roles. Disabil Rehabil 1994; 16: 205-16.

11.

Cockburn J. , Smith PT , Wade DT Influence of cognitive function on social, domestic, and leisure activities of community-dwelling older people. Int Disabil Stud 1990; 12: 169-72.

12.

Sonesson B. , Ljunggren B. , Säveland H. , Brandt L. Cognition and adjustment after late and early operation for ruptured aneurysm. Neurosurgery 1987; 21: 279-87.

13.

World Health Organization. International classification of impairments, disabilities and handicaps (ICIDH). A manual of classification relating to the consequences of disease. Geneva: World Health Organization, 1980.