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Longitudinal functional changes, depression, and health-related quality of life among stroke survivors living at home after inpatient rehabilitation.
- Source :
-
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society [Psychogeriatrics] 2016 May; Vol. 16 (3), pp. 185-90. Date of Electronic Publication: 2015 Jul 16. - Publication Year :
- 2016
-
Abstract
- Aim: This study investigated changes in functional status in home-dwelling stroke survivors 1-3 years after inpatient rehabilitation. It also examined the factors associated with longitudinal functional changes and health-related quality of life.<br />Methods: Survey evaluations were conducted at the homes of 27 stroke survivors. The Functional Independence Measure (FIM), Short Form 36, Frenchay Activities Index, and Hamilton Depression Rating Scale were used to assess functional status, quality of life, social activity, and depression symptoms, respectively.<br />Results: From the time of discharge to follow-up (mean: 2.1 ± 0.6 years), total FIM and motor FIM scores were mildly improved, and cognitive FIM score was significantly improved. On the Short Form 36, physical functioning, general health, and vitality scores were lower than norm-based scores. Multiple regression analyses showed a positive association between change in motor FIM score and Frenchay Activities Index score and a negative association between change in cognitive FIM score and elapsed time after discharge. With regard to health-related quality of life, motor FIM score was associated with the physical component summary, whereas age and Hamilton Depression Rating Scale score were associated with the mental component summary.<br />Conclusion: Social participation was associated with long-term improvement in activities of daily living, indicating that interventions targeting social function are important for maintaining and further improving activities of daily living in stroke survivors. Health-related quality of life was correlated with activities of daily living and depression; therefore, interventions targeting these parameters are important in improving the quality of life of stroke survivors.<br /> (© 2015 The Authors. Psychogeriatrics © 2015 Japanese Psychogeriatric Society.)
- Subjects :
- Adult
Aged
China epidemiology
Depression epidemiology
Depression psychology
Female
Health Status Indicators
Humans
Inpatients psychology
Inpatients statistics & numerical data
Longitudinal Studies
Male
Patient Discharge statistics & numerical data
Psychiatric Status Rating Scales
Recovery of Function
Regression Analysis
Risk Factors
Severity of Illness Index
Social Participation
Stroke complications
Stroke epidemiology
Surveys and Questionnaires
Survivors psychology
Survivors statistics & numerical data
Treatment Outcome
Activities of Daily Living psychology
Quality of Life
Stroke physiopathology
Stroke psychology
Stroke Rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1479-8301
- Volume :
- 16
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
- Publication Type :
- Academic Journal
- Accession number :
- 26179118
- Full Text :
- https://doi.org/10.1111/psyg.12137