INTRODUCTION Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. AIM The aim was to explore the perceived needs for rehabilitation services of people six years after stroke and factors associated with having rehabilitation services needs met. METHODS The study was a 6-year follow up of a prospective study on the rehabilitation process after stroke. Data on perceived needs for rehabilitation, personal factors, disease specific factors, and patient-reported disability were collected through face-to-face interviews in the participants' homes. Logistic regression models were created to explore associations between having rehabilitation services needs met in 11 problem areas (dependent variable) and the independent variables: involvement in decisions regarding care and treatment, sex, age, sense of coherence, self-defined level of private financing, stroke severity, frequency of social everyday activities, perceived impact of stroke, and life satisfaction. RESULTS The 121 participants had a mean age of 63 years at stroke onset and 58% were men. In all problem areas the majority (53-88%) reported having needs met at six years after stroke, however 47% reported unmet needs regarding fatigue and 45% regarding mobility. A lower perceived impact on participation was found to be associated with having rehabilitation services needs met in seven problem areas: mobility, falls, pain, fatigue, concentration, memory, and sight. The strongest association for having needs met was found for the independent variable, involvement in care and treatment, within the three problem areas mobility, falls, and speaking. CONCLUSION In a long-term perspective, there were several modifiable factors associated with having rehabilitation services needs met. The most prominent were perceived involvement in care and treatment, and perceived participation. These factors had a stronger association with having rehabilitation services needs met than disease specific factors six years after stroke.

中文翻译：

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与中风后 6 年康复需求相关的因素。

引言脑卒中康复研究主要关注康复第一年，缺乏对长期康复需求和相关因素的认识。目的 目的是探讨中风后六年人们对康复服务的感知需求以及与满足康复服务需求相关的因素。方法 该研究是对中风后康复过程的前瞻性研究的 6 年随访。通过在参与者家中进行面对面访谈，收集了有关康复需求、个人因素、疾病具体因素和患者报告的残疾的数据。创建逻辑回归模型来探索 11 个问题领域（因变量）满足康复服务需求与自变量之间的关联：参与护理和治疗决策、性别、年龄、一致性感、自定义私人融资水平、中风严重程度、日常社交活动频率、中风的感知影响以及生活满意度。结果 121 名参与者中风发病时的平均年龄为 63 岁，其中 58% 是男性。在所有问题领域中，大多数人 (53-88%) 表示在中风后六年时需求得到满足，但 47% 的人表示疲劳方面的需求未得到满足，45% 的人表示活动方面的需求未得到满足。研究发现，对参与的感知影响较低与满足七个问题领域的康复服务需求有关：行动能力、跌倒、疼痛、疲劳、注意力、记忆力和视力。在行动能力、跌倒和说话这三个问题领域中，自变量“参与护理和治疗”与满足需求的关联性最强。结论 从长远来看，有几个与满足康复服务需求相关的可改变因素。最突出的是感知参与护理和治疗以及感知参与。与中风六年后疾病特定因素相比，这些因素与满足康复服务需求的关联性更强。