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

Autor:	Wang, Jeng, Kuo, Wen-Yu, Chen, Min-Chi, Chen, Chen-Yin
Předmět:	HEALTH self-care SCALE analysis (Psychology) SELF-evaluation MENTAL health HEALTH status indicators RESEARCH funding FISHER exact test STATISTICAL sampling INTERVIEWING QUESTIONNAIRES DESCRIPTIVE statistics LONGITUDINAL method QUALITY of life STROKE rehabilitation ONE-way analysis of variance CONVALESCENCE STROKE COMPARATIVE studies STROKE patients DATA analysis software CONFIDENCE intervals MENTAL depression ACTIVITIES of daily living DISEASE complications
Zdroj:	Topics in Stroke Rehabilitation; May2024, Vol. 31 Issue 4, p361-371, 11p
Abstrakt:	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. 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. 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. 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. Both depressive symptoms and rehabilitation adherence behavior impacted the rehabilitation effect among patients who are recovering from a stroke. [ABSTRACT FROM AUTHOR]
Databáze:	Supplemental Index
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