Healthcare, Clinical Factors and Rehabilitation Predicting Quality of Life in First-time Stroke Patients: A 12-month Longitudinal Study

Barbosa, Pedro; Ferreira, Lara Noronha; Cruz, Vítor Tedim; Silva, Augusta; Szrek, Helena

doi:10.1016/j.jstrokecerebrovasdis.2021.106300

Cited by 11 publications

(16 citation statements)

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“…O processo de recuperação e retomada das atividades é gradual e variável de acordo com os deficits manifestados. Programas de reabilitação voltados para a reinserção social, retomada de autonomia e independência, que buscam olhar para as necessidades singulares de cada pessoa, auxiliam na melhora da QV (Barbosa et al, 2022;Rangel et al, 2013), conforme nossos resultados sugerem.…”

Section: Discussionunclassified

“…Quanto aos estados emocionais, os participantes indicaram que quanto maiores os níveis de depressão, ansiedade e estresse, menores os níveis de afetos positivos, de BES e de QV, o que corrobora dados de outros estudos (Barbosa et al, 2022;Fisher et al, 2022). Em uma revisão sistemática realizada por Ferreira (2020), constatou-se que a presença de fatores psicológicos pode influenciar na percepção da doença e na gravidade com que as consequências de um evento como as lesões encefálicas são percebidas, interpretadas e vivenciadas.…”

Section: Discussionunclassified

“…A diminuição da interação social, um ambiente não favorável e sintomas depressivos têm um efeito adverso na QV, que pode variar com o tempo em paralelo aos reajustes psicológicos e sociais (Corad-Artal et al, 2000;Fisher et al, 2022). Por outro lado, pacientes com menores prejuízos motores, cognitivos, idade, tempo de permanência na internação hospitalar e maior independência funcional, escolaridade, com ocupação e que receberam cuidados de reabilitação após o AVC demonstraram uma melhor percepção de QV (Barbosa et al, 2022).…”

Section: Introductionunclassified

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Bem-Estar Subjetivo, Qualidade de Vida e Sintomas Psicológicos em Adultos após Acidente Vascular Cerebral

Thums

Rodrigues

2023

PSSA

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Investigou-se a percepção do bem-estar subjetivo (BES), qualidade de vida (QV) e sintomas psicológicos de indivíduos que estavam ou não em reabilitação após acidente vascular cerebral (AVC). Participaram 15 adultos (M = 40,73; DP = 9,46 anos), que responderam à escala brasileira de Bem-Estar Subjetivo (EBES), Escala de Qualidade de Vida Específica para AVC (EQVE-AVE) e Escala de Depressão, Ansiedade e Estresse. A partir do levantamento, verificou-se que a amostra apresentou níveis baixos e moderados de BES e de QV. Participantes que se mantiveram em reabilitação após o AVC demonstraram maiores níveis de afetos positivos, menores afetos negativos e sintomas de estresse. Maiores sintomas psicológicos estiveram relacionados a menores níveis de BES e QV. Este estudo destaca a importância da reabilitação pós-AVC, focando as necessidades de cada indivíduo. Serviços de atendimento multiprofissional devem considerar o quanto os aspectos emocionais e as experiências subjetivas afetam a recuperação dos pacientes.

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Section: Discussionunclassified

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Bem-Estar Subjetivo, Qualidade de Vida e Sintomas Psicológicos em Adultos após Acidente Vascular Cerebral

Thums

Rodrigues

2023

PSSA

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“…After screening titles, abstracts, and duplicated studies, 54 potentially relevant full papers were retrieved. Thirtyseven studies failed to meet the inclusion criteria and, thus, 17 papers [4,7,[26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] were included in this systematic review (Fig. 1).…”

Section: Flow Of Trials Through the Reviewmentioning

confidence: 99%

Predictors of health-related quality of life one year after stroke: a systematic review with meta-analysis

Silva,

Menezes,

Scianni

et al. 2024

International Journal of Rehabilitation Research

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The objective was to investigate, through a systematic review, which independent variables predict health-related quality of life (HRQoL) one year after stroke. Searches were conducted in LILACS, MEDLINE, Scielo, Web of Science, and PEDro. The inclusion criteria were observational longitudinal studies, which included at least one independent variable measured at baseline, as a potential predictor of HRQoL measured 12 months after stroke. The predictors of interest were variables across all domains of the International Classification of Function, Disability and Health. The quality of evidence was rated according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). A total of 17 papers were included, involving 8338 participants, and 10 possible predictors of the HRQoL one year after stroke. The meta-analysis was performed for six of them (cognition, depression, neurological deficit, stroke severity, motor impairment, and limitation in activities of daily living), and significant results were found only for limitation in activities of daily living (odds ratio, 1.30 [95% confidence interval, 1.09–1.57]; I 2 = 72%; P < 0.01). The descriptive analysis of the remaining four predictors suggested a significant predictive value of balance and functional independence, whereas the results for trunk control were not significant and for social participation were unclear. In conclusion, individuals within the first 11.5 weeks after stroke with lower limitation in activities of daily living, higher functional independence, and better balance, are more likely to have a higher HRQoL one year after stroke. Thus, these predictors, all modifiable factors, need to be targeted during acute rehabilitation.

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“…Stroke is associated with a high burden on the healthcare system due to the loss of disability-adjusted life years ( 1 , 2 ). Some level of assistance is required in 26–44% of stroke survivors ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Physical inactivity before stroke is associated with dependency in basic activities of daily living 3 months after stroke

Susts

Reinholdsson²,

Sunnerhagen³

et al. 2023

Front. Neurol.

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BackgroundPhysical inactivity is a leading risk factor for non-communicable diseases, including stroke. Moreover, physical inactivity before stroke is associated with stroke severity, which, in turn, can cause disability. However, it remains unclear whether physical inactivity before stroke is associated with dependency in basic activities of daily living (ADL).AimThe aim of this study was to evaluate whether physical inactivity before stroke influences ADL dependency 3 months after stroke.MethodsThis longitudinal study was based on data from three Swedish registries. Patients with acute stroke who were admitted to the Sahlgrenska University Hospital between 9 November 2014 and 30 June 2019 were included in the study. Baseline data were collected from the three stroke units, and self-reported questionnaires were used to collect 3-month follow-up data. Physical inactivity before stroke was the primary independent variable that was self-reported using the Saltin–Grimby physical activity level scale. ADL dependency was a composite measure of three tasks: mobility, dressing, and toilet use. A binary logistic regression analysis was used to explain the association between physical inactivity before stroke and basic ADL 3 months after stroke.ResultsIn total, 3,472 patients were included in the study. The median age was 75 years, 49% of the patients were physically inactive before stroke, and 75% had a mild stroke. ADL dependency at follow-up was reported to be 32%. Physically inactive patients, compared with physically active patients, had 2.35 times higher odds for ADL dependency 3 months after stroke (odds ratio 2.30 [95% CI 1.89 – 2.80]). The model correctly classified 84% of the patients (the area under the receiver operating characteristic curve was 0.84 [95% CI, 0.83 – 0.86]).ConclusionThe findings of this study suggest that physical inactivity before stroke is associated with dependency in basic ADL 3 months after stroke. In addition, older age, female sex, pre-stroke living conditions, need for help, previous stroke, and admission stroke severity are significant contributors to dependency.

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Healthcare, Clinical Factors and Rehabilitation Predicting Quality of Life in First-time Stroke Patients: A 12-month Longitudinal Study

Cited by 11 publications

References 37 publications

Bem-Estar Subjetivo, Qualidade de Vida e Sintomas Psicológicos em Adultos após Acidente Vascular Cerebral

Bem-Estar Subjetivo, Qualidade de Vida e Sintomas Psicológicos em Adultos após Acidente Vascular Cerebral

Predictors of health-related quality of life one year after stroke: a systematic review with meta-analysis

Physical inactivity before stroke is associated with dependency in basic activities of daily living 3 months after stroke

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