Factors associated with perceived participation three months after being discharged from a tertiary hospital.
Clin Rehabil
; 31(9): 1257-1266, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28786334
ABSTRACT
OBJECTIVES:
To describe how first-stroke survivors perceive their participation and the problems with such participation in life and to determine the factors associated with perceived participation at three months after hospital discharge.DESIGN:
A cross-sectional study.SETTING:
Patients were recruited from a tertiary hospital in Shanghai, China and they were followed up in their homes.SUBJECTS:
Two hundred and fifty-seven first-stroke survivors discharged for three months participated in this study.MEASURES:
The Chinese version of the Impact on Participation and Autonomy questionnaire, Barthel Index, Chinese Stroke Scale, Hospital Anxiety and Depression Scale and Social Support Rating Scale.RESULTS:
One hundred thirty-four (52.1%) and 147 (57.2%) participants perceived their participation as poor to very poor in the domains of family role and autonomy outdoors, respectively. Conversely, 208 (80.9%) and 228 (88.7%) participants perceived their participation to be fair to good in the domains of social relations and autonomy indoors, respectively. The ability to perform activities of daily life was the strongest correlate of participation in the domains of autonomy indoors, family role, and autonomy outdoors, whereas anxiety was the strongest correlate of participation in the domain of social relations.CONCLUSIONS:
Activities of daily living were significantly associated with perceived participation in almost all domains. In contrast, anxiety was an important factor in predicting participation in the domain of social relations. These findings suggest the need to explore different strategies of promoting participation for each domain.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Participação do Paciente
/
Autoimagem
/
Comportamento Social
/
Atividades Cotidianas
/
Acidente Vascular Cerebral
/
Reabilitação do Acidente Vascular Cerebral
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Clin Rehabil
Assunto da revista:
REABILITACAO
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
China