Abstract：
BACKGROUND: Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.
OBJECTIVE: To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.
METHODS: A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions (\"In general, how would you say your health is?\" and \"Compared to a year ago, how would you rate your general health now?\"). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.
RESULTS: Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.
CONCLUSIONS: At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.
OBJECTIVE: To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.
METHODS: A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions (\"In general, how would you say your health is?\" and \"Compared to a year ago, how would you rate your general health now?\"). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.
RESULTS: Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.
CONCLUSIONS: At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.
摘要：
背景：自我评估健康（SRH）是个人对其健康状况的感知和健康状况的指标。确定SRH的预测因素允许选择基于证据的干预措施，以减轻导致不良SRH的因素，并确定处于更坏SRH风险的个体。
目的：确定出院后3个月和12个月中风患者的一般和时间比较性SRH的急性预测因子，考虑到个人，物理，和心理功能。
方法：根据2个问题，开发了一项前瞻性研究，以评估出院后3个月和12个月的一般和时间比较性SRH（“通常，你觉得你的健康怎么样？”和“与一年前相比，您现在如何评价您的总体健康状况？\“)。分析的潜在急性预测因子是个人的(年龄，性别,合并症,社会经济地位,和家庭安排)，身体(中风严重程度，运动障碍,和日常生活基本活动的独立性[ADL])，和心理（认知）功能。
结果：年龄（调整后的比值比[aOR]=2.10）和基本ADL的独立性（aOR=0.29）是3个月时SRH的重要预测因子；在12个月时，没有发现显著的预测因子.运动障碍(aOR=3.90)是3个月时SRH的显著预测因子；在12个月时，性别(aOR=0.36)和基础ADL的独立性(aOR=0.32)是显著的预测因子。
结论：在3个月时，≥65岁且依赖基础ADL的卒中患者更有可能患有更差的一般SRH,而运动障碍较高的人更有可能患有更差的时间比较SRH。12个月时,依赖基础ADL的女性和个体更有可能患有更差的时间-比较性SRH.
目的：确定出院后3个月和12个月中风患者的一般和时间比较性SRH的急性预测因子，考虑到个人，物理，和心理功能。
方法：根据2个问题，开发了一项前瞻性研究，以评估出院后3个月和12个月的一般和时间比较性SRH（“通常，你觉得你的健康怎么样？”和“与一年前相比，您现在如何评价您的总体健康状况？\“)。分析的潜在急性预测因子是个人的(年龄，性别,合并症,社会经济地位,和家庭安排)，身体(中风严重程度，运动障碍,和日常生活基本活动的独立性[ADL])，和心理（认知）功能。
结果：年龄（调整后的比值比[aOR]=2.10）和基本ADL的独立性（aOR=0.29）是3个月时SRH的重要预测因子；在12个月时，没有发现显著的预测因子.运动障碍(aOR=3.90)是3个月时SRH的显著预测因子；在12个月时，性别(aOR=0.36)和基础ADL的独立性(aOR=0.32)是显著的预测因子。
结论：在3个月时，≥65岁且依赖基础ADL的卒中患者更有可能患有更差的一般SRH,而运动障碍较高的人更有可能患有更差的时间比较SRH。12个月时,依赖基础ADL的女性和个体更有可能患有更差的时间-比较性SRH.
