Impact of rehabilitation adherence and depressive symptoms on post-stroke self-care ability and quality of life: a longitudinal study.

Autor:	Wang J; School of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan (R.O.C.).; Geriatric and Long-term Care Research Center, Chang Gung University of Science and Technology, Taoyuan City, Taiwan (R.O.C.).; Department of Nursing, Chang Gung Memorial Hospital, Taoyuan City, Taiwan (R.O.C.)., Kuo WY; School of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan (R.O.C.).; Geriatric and Long-term Care Research Center, Chang Gung University of Science and Technology, Taoyuan City, Taiwan (R.O.C.).; Department of Physical Therapy, Chang Gung Memorial Hospital, Taoyuan City, Taiwan (R.O.C.)., Chen MC; Biostatistics Consulting Center and Department of Public Health, College of Medicine, Chang Gung University, Taoyuan City, Taiwan (R.O.C.).; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chiayi, Taiwan (R.O.C.).; Department of Public Health and Biostatistics Consulting Center, School of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C)., Chen CY; Department of Physical Therapy, Chang Gung Memorial Hospital, Taoyuan City, Taiwan (R.O.C.).; Chang Gung Medical Education Research Centre, Chang Gung Memorial Hospital, Taoyuan City, Taiwan (R.O.C.).; Graduate Institution of Rehabilitation, School of Physical Therapy, College of Medicine, Chang Gung University, Taoyuan, Taiwan (R.O.C.).
Jazyk:	angličtina
Zdroj:	Topics in stroke rehabilitation [Top Stroke Rehabil] 2024 May; Vol. 31 (4), pp. 361-371. Date of Electronic Publication: 2023 Sep 18.
DOI:	10.1080/10749357.2023.2259652
Abstrakt:	Background: Good rehabilitation adherence leads to effective post-stroke recovery. However, some recovering patients experience post-stroke depressive symptoms, which can affect post-stroke health outcomes. Previous studies have not examined the effect of a combination of rehabilitation adherence and depressive symptoms on recovery after a stroke. Objectives: This study explored the combined predictive influence of rehabilitation adherence and post-stroke depressive symptoms on self-care abilities and quality of life in patients with stroke. Methods: This prospective longitudinal study analyzed data from 75 stroke patients. We examined rehabilitation adherence (self-reported, five-point scale), post-stroke depressive symptoms (Taiwanese Depression Scale), self-care ability (Chinese versions of the Barthel Index and Lawton - Brody Instrumental Activities of Daily Living Scale), and post-stroke quality of life (World Health Organization Quality of Life-BREF). Patients were followed up for six months after inclusion. The influence of rehabilitation adherence and post-stroke depressive symptoms on post-stroke self-care abilities and quality of life was examined using generalized estimating equations. Results: The sample's mean age was 60.85 (±12.9) years. Patients with perfect rehabilitation adherence had better self-care abilities and quality of life than those with imperfect rehabilitation adherence. Patients without post-stroke depressive symptoms had a better quality of life than their counterparts. Patients with perfect rehabilitation adherence and no post-stroke depressive symptoms had better self-care abilities and quality of life than those with imperfect rehabilitation adherence and post-stroke depressive symptoms. Conclusion: Both depressive symptoms and rehabilitation adherence behavior impacted the rehabilitation effect among patients who are recovering from a stroke.
Databáze:	MEDLINE
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