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Patient satisfaction with hospital-based outpatient rehabilitation after stroke in Sweden and its association with life satisfaction and health-related quality of life: a longitudinal national register study
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.ORCID iD: 0000-0002-2916-0628
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.ORCID iD: 0000-0003-1351-4425
2026 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 58, article id jrm43966Article in journal (Refereed) Published
Abstract [en]

Objective: To examine stroke survivors’ satisfaction with hospital-based outpatient rehabilitation and its association with life satisfaction and health-related quality of life (HRQoL), and whether sex and age affect possible associations. 

Design: A longitudinal national register study. 

Methods: Data from the Swedish national quality register were used and included 1,068 patients with stroke performing outpatient rehabilitation. Self-reported questionnaires collected on admission, discharge, and at 1-year follow-up were analysed. Regression analyses were used to assess possible associations between patient satisfaction and life satisfaction (Life Satisfaction Questionnaire, LiSat-11) and HRQoL (EuroQol Five Dimensions questionnaire, EQ-5D).

Results: Over 71% of the included patients were satisfied with their rehabilitation process on discharge. Satisfied patients also reported higher scores on global LiSat-11 and higher EQ-5D values. Older patients (> 58 years) satisfied with their rehabilitation process were more likely to be satisfied with global LiSat-11. Women dissatisfied with the rehabilitation process had lower EQ-5D values on discharge.

Conclusion: Patient satisfaction with hospital-based outpatient rehabilitation was associated with life satisfaction and HRQoL. Potential differences linked to sex and age support the importance of individually tailored rehabilitation strategies. Evaluating self-reported outcomes and experiences over time is essential for improving long-term recovery and for further development of person-centred stroke rehabilitation.

Place, publisher, year, edition, pages
Medical Journals Sweden AB , 2026. Vol. 58, article id jrm43966
Keywords [en]
health, personal satisfaction, quality of life, stroke, outpatient rehabilitation
National Category
Occupational Therapy Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-250008DOI: 10.2340/jrm.v58.43966ISI: 001669606800002PubMedID: 41536033OAI: oai:DiVA.org:umu-250008DiVA, id: diva2:2039188
Funder
The Swedish Stroke AssociationSwedish Association of Persons with Neurological DisabilitiesRegion VästerbottenAvailable from: 2026-02-17 Created: 2026-02-17 Last updated: 2026-02-17Bibliographically approved

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Bråndal, AnnaStålnacke, Britt-MarieJohansson, Gudrun

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