Instrumental Activities of Daily Living in Two Patient Populations, Three Months and One Year After a Stroke

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Abstract
The pattern of instrumental activities of daily living (I‐ADL) such as household work, locomotion, psychosocial functions and intellectual activity was investigated in two groups of patients, three months and one year after a stroke. Group A (n=78 at three months,n=63 at one year) had received conventional care during the hospital period, while Group B (n=129 at three months,n=120 at one year) had taken part in a more individualised care programme. There was no difference in I‐ADL performance between the two groups on the follow‐up occasions according to interviews. The individualised care programme in the present study did not result in any significant differences in long‐term functional improvements, although the mortality rate was somewhat lower in Group B. The patients of both groups were dependent to a large extent on somebody else in all activities except locomotion. Three‐fourths of the patients, however, declared that they were satisfied with their health and life situation, in spite of their handicap.

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