Self-rated health after stroke: a systematic review of the literature.

Autor: Araújo ÉF; Graduate Program in Rehabilitation Sciences of the Universidade Federal de Minas Gerais, (UFMG), Belo Horizonte, MG, Brazil., Viana RT; Graduate Program in Rehabilitation Sciences of the Universidade Federal de Minas Gerais, (UFMG), Belo Horizonte, MG, Brazil.; Department of Physical Therapy, Universidade Federal do Ceará (UFC), Fortaleza, Ceará, Brazil., Teixeira-Salmela LF; Department of Physical Therapy, Universidade Federal de Minas Gerais, (UFMG), Av. Antonio Carlos, 6627, Campus Pampulha, Belo Horizonte, MG, ZIP code 31270-901, Brazil., Lima LAO; Department of Physical Therapy, Universidade Federal do Ceará (UFC), Fortaleza, Ceará, Brazil., Faria CDCM; Department of Physical Therapy, Universidade Federal de Minas Gerais, (UFMG), Av. Antonio Carlos, 6627, Campus Pampulha, Belo Horizonte, MG, ZIP code 31270-901, Brazil. cdcmf@ufmg.br.
Jazyk: angličtina
Zdroj: BMC neurology [BMC Neurol] 2019 Sep 07; Vol. 19 (1), pp. 221. Date of Electronic Publication: 2019 Sep 07.
DOI: 10.1186/s12883-019-1448-6
Abstrakt: Background: Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke.
Methods: This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included.
Results: Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH.
Conclusions: Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.
Databáze: MEDLINE
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