Assuntos
Transtornos de Deglutição/complicações , Pneumonia Aspirativa/diagnóstico por imagem , Transtornos de Deglutição/diagnóstico por imagem , Transtornos de Deglutição/cirurgia , Gastrostomia , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Pneumonia Aspirativa/etiologia , Período Pós-Prandial , Cintilografia/métodosRESUMO
Carers of people with non-acute aphasic and non-aphasic stroke completed questionnaires assessing their distress, perceptions of stroke, generalised self-efficacy, optimism, coping strategies, self-rated physical health and social support. At the same time, their relatives with the stroke were assessed on mood and ability measures. Results showed that whereas stroke disability/aphasia did not account for carer distress, carer factors accounted for a significant amount of the distress.
Assuntos
Afasia/etiologia , Atitude , Cuidadores/psicologia , Transtornos Cerebrovasculares/complicações , Adulto , Estudos Transversais , HumanosRESUMO
Previous work has shown that doctors, nurses and relatives are inaccurate at estimating the comprehension problem of stroke patients. Possible factors that influence the accuracy of these judgements were studied, including confidence of the respondents, the severity of the comprehension problems of the patients and factors specific to relatives (educational background and the length of the relative's relationship with the patient). Doctors, nurses and relatives involved with 30 recently aphasic stroke patients were asked to estimate how patients would perform on the comprehension sections of two tests (Western Aphasia Battery and Functional Communication Profile). Results show that although all respondents over-estimated patients' comprehension abilities, they were more accurate for patients who had mild problems. Doctors and nurses who were more confident about their predictions tended to be more accurate on some parts of the tests than those with less confidence, whereas relatives were equally inaccurate when giving high and low confidence judgements. Length of relationship and educational level did not predict relative's accuracy.
Assuntos
Afasia/diagnóstico , Transtornos Cerebrovasculares/complicações , Idoso , Idoso de 80 Anos ou mais , Transtornos Cerebrovasculares/psicologia , Família , Feminino , Humanos , Testes de Linguagem , Masculino , Corpo Clínico Hospitalar , Pessoa de Meia-IdadeRESUMO
Doctors, nurses and relatives involved with 30 recently aphasic stroke patients were asked to predict how the patient would perform on a comprehension test. Results show that not only do doctors, nurses and relatives underestimate the receptive disability of these patients, but they also illustrate a lack of agreement between health professionals. Implications for management are considered.