Factors related to met needs for rehabilitation 6 years after stroke

English version

Autoři: Charlotte Ytterberg ^aff001; Hanne Kaae Kristensen ^aff003; Malin Tistad ^aff001; Lena von Koch ^aff001
Působiště autorů: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden ^aff001; Karolinska University Hospital, Huddinge, Sweden ^aff002; Research Unit in Rehabilitation, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark ^aff003; Health Sciences Research Centre, University College Lillebaelt, Odense, Denmark ^aff004; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden ^aff005
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227867

Souhrn

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.

Klíčová slova:

Activities of daily living – Decision making – Emotions – Fatigue – Finance – Incontinence – Pain sensation – Prospective studies

Zdroje

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Factors related to met needs for rehabilitation 6 years after stroke

Souhrn

Introduction

Aim

Methods

Results

Conclusion

Klíčová slova:

Zdroje

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