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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(3):418-425.
Social Issues of Young Adult Stroke Patients.
Park, Hyoung Koo , Rah, Ueon Woo , Lee, IL Yung , Moon, Hae Won , Cho, Ja Ryong
Department of Physical Medicine an Rehabilitation, Ajou University School of Medicine.
청장년기 뇌졸중 환자의 사회적 문제점
박형구, 나은우, 이일영, 문혜원, 조자룡
아주대학교 의과대학 재활의학교실

The purpose of this study is to evaluate the psychosocial factors and outcomes in young adult stroke patients.

The study group consisted of 59 stroke patients under the age of 45. Retrospective chart reviews of demographic findings, functional status, primary caregiver, marital and child status, discharge destination, employment and psychological difficulties were recorded by rehabilitation team during hospitalization. Telephone and mail surveys were carried out for the functional status, marital status, employment and social factors of the study group after discharge.

The proportion of young adult stroke was 13.7% of all stroke patients. Young adult stroke were 20 cases (34%) of cerebral infarction and 39 cases (66%) of cerebral hemorrhage. Of the 39 married patients, 2 couples were separated. The marital adjustment skill was significantly lower in these couples than ordinary couples under age of 45. Forty-two of 51 patients were able to return to their premorbid residence. Of the 39 patients employed at the time of stroke, only 4 (10.3%) were able to return to work after discharge. Two of the 4 patients returned to school after discharge.

Rehabilitation of young adult stroke patients is associated with variety of social factors including marital adjustment and returning to work.

Key Words: Stroke, Psychosocial factors, Marital adjustment, Employment


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