Evaluating the GAD-2 to screen for post-stroke anxiety on an acute stroke unit

McCrory, Meghan; Murphy, Donnchadh; Morris, Reg; Noad, Rupert

doi:10.1080/09602011.2022.2030366

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…After stroke, patients are prone to different degrees of stigma, such as sensitivity, low self-esteem, and frustration. Stigma leads to loneliness and social isolation [10] , decreases motivation and initiative for rehabilitation treatment, hinders the process of rehabilitation [11] , greatly affects patients' physical and mental health and quality of life [12,13] , and brings a heavy burden to families and society.…”

Section: Introductionmentioning

confidence: 99%

An investigation of the level of stigma and the factors influencing it in the rehabilitation of young and middle-aged stroke patients

Zheng¹,

Song

Zhao

et al. 2022

Preprint

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Background There are few reported studies on stigma in young and middle-aged stroke patients during the rehabilitation period, however, the rehabilitation period plays a key role in the patients' disease regression. Exploring the level of stigma and the influencing factors in young and middle-aged stroke patients during the rehabilitation period is crucial for determining how to reduce the level of stigma and improve the patients' motivation for rehabilitation treatment. Therefore, this study investigated the level of stigma in young and middle-aged stroke patients and analyzed the factors influencing stigma in order to provide a reference or basis for healthcare professionals to develop effective and targeted stigma intervention programs. Methods Using a convenience sampling method, 285 young and middle-aged stroke patients admitted to the rehabilitation medicine department of a tertiary care hospital in Shenzhen, China, from November 2021 to September 2022 were selected and surveyed using a general information questionnaire, the Stroke Patient Stigma Scale, the Barthel Index, and the Positive and Negative Emotions Scale, and multiple linear regression and smoothed curve fitting were used to analyze the factors influencing the stigma of young and middle-aged stroke patients during the rehabilitation period. Results Total stigma score of 45.08 ± 11.057, univariate analysis of age, occupation, education level, monthly income before illness, type of health insurance, chronic illness status, primary caregiver, Barthel Index, positive and negative emotion as factors influencing stigma. Multiple linear regression showed that age, monthly income before illness, the Barthel Index, positive and negative emotions were independent influences on stigma in young and middle-aged stroke patients, explaining 58.0% of the total variance in stigma. A smoothed curve fit revealed a curvilinear relationship between the above influences and stigma. Conclusion Young and middle-aged stroke patients have a moderate level of stigma. Medical staff should focus on young patients aged 18–44 years, those with high monthly income before the stroke, those with poor self-care ability, and those with low positive and high negative emotion scores, and conduct early assessments and adopt targeted intervention programs according to the influencing factors to reduce the stigma of young and middle-aged stroke patients, improve their motivation for rehabilitation, and help them return to their families and society as soon as possible.

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Section: Introductionmentioning

confidence: 99%

An investigation of the level of stigma and the factors influencing it in the rehabilitation of young and middle-aged stroke patients

Zheng¹,

Song

Zhao

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Patients experience various symptoms including physical and psychological manifestations during medical disease treatment and rehabilitation [9][10][11] . These symptoms not only impact patients' recovery functions but also reduce their daily life capabilities and quality of life, imposing a heavy burden on family caregivers and society at large.…”

Section: Introductionmentioning

confidence: 99%

Current Status of Outcomes Reported by Patients With Stroke and an Analysis of Influencing Factors: Cross-Sectional Questionnaire Study

Sun,

Ma,

Miao

et al. 2024

JMIR Form Res

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Background Stroke is the leading cause of acquired disability and the second leading cause of death worldwide. Its rate of incidence, disability, mortality, and recurrence is high, and the patients experience various symptoms of discomfort, which not only affect their rehabilitation function but also reduce their ability to perform daily activities and their quality of life. Nowadays, with the improvement of China’s medical standards, patients are increasingly attentive to their quality of life and health status. However, diagnostic techniques and effective treatments for patients with stroke are still limited but urgently required. Objective This study aimed to evaluate the quality of life during hospitalization using a stroke patient-reported outcomes (PROs) scale and additionally to recognize potential factors and risk indicators that may impact recurrent events, facilitating early intervention measures. Methods This is a registry-based, retrospective observational cross-sectional study on patients with stroke. A convenient sampling method was used to select various indicators of patients. The Stroke-PRO scale was then used to assess patients’ conditions across physical, psychological, social, and therapeutic domains. Multiple linear regression analysis was applied to identify factors influencing stroke PROs, while correlation analysis was conducted to explore the relationship between these outcomes and blood lipid levels. Results The mean Stroke-PRO score in this study was 4.09 (SD 0.29) points. By multiple linear regression analysis, residence, occupation, physical exercise, Barthel index, Braden scale, National Institutes of Health Stroke Scale scores at admission, and stroke type were the risk factors for reported outcomes of patients with stroke (P<.05). Correlation analysis showed that serum triglyceride, total cholesterol, and low-density lipoprotein were negatively correlated with Stroke-PRO scores in patients with stroke (P<.05), while high-density lipoprotein was positively correlated with patients with stroke (P<.05). The 95% CI was –0.31 to –0.03 for triglyceride, 0.17-0.44 for high-density lipoprotein, –0.29 to –0.01 for cholesterol, –0.30 to –0.02 for low-density lipoprotein, and –0.12 to 0.16 for blood glucose. Conclusions Patients with stroke have a low level of health, and their reported outcomes need to be improved. Accordingly, nursing staff should pay attention to the quality of life and blood lipid indexes of patients with stroke, actively assess their actual health status, and take early intervention measures to promote their recovery.

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An evaluation of the validity of an aphasia friendly mood and anxiety measure for stroke patients

Murphy,

Hourston,

Freeman

et al. 2024

Aphasiology

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Evaluating the GAD-2 to screen for post-stroke anxiety on an acute stroke unit

Cited by 4 publications

References 43 publications

An investigation of the level of stigma and the factors influencing it in the rehabilitation of young and middle-aged stroke patients

An investigation of the level of stigma and the factors influencing it in the rehabilitation of young and middle-aged stroke patients

Current Status of Outcomes Reported by Patients With Stroke and an Analysis of Influencing Factors: Cross-Sectional Questionnaire Study

An evaluation of the validity of an aphasia friendly mood and anxiety measure for stroke patients

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