Influence of Pain and Discomfort in Stroke Patients on Coping Strategies and Changes in Behavior and Lifestyle

Abstract

The implementation of prevention strategies can reduce the risk of having a stroke. This prospective, longitudinal, multicenter observational study of 82 patients describes health habits, quality of life, coping strategies, and physical and neurological status at 3 months and 1 year after stroke. The EuroQoL-5D quality of life scale (EQ-5D) and the coping strategy measurement scale (COPE-28) were used to assess pain and discomfort, and behavioral and lifestyle changes. Significant differences were observed in the pain or discomfort levels of those patients with behavioral and lifestyle changes. Correlation was also found between pain or discomfort and the coping strategies associated with active emotional support at 1 year after stroke. The results of the pain or discomfort dimension were not, however, associated with better adherence to treatment. Pain and discomfort could have a predictive value in changes in lifestyles and behaviors but not for treatment adherence in patients who have had a stroke, which is significant at 1 year. In addition to important active coping strategies such as social support, these changes in behavior and lifestyle following a stroke are long-term and should therefore be assessed during the initial examination.

Selecting Goals and Target Muscles for Botulinum Toxin A Injection Using the Goal Oriented Facilitated Approach to Spasticity Treatment (GO-FAST) Tool

“…The clinician should consider whether the patient and caregiver(s) have the coping strategies, motivation, and confidence to allow for the plan to be implemented [ 23 , 24 ]. There must be consensus between the patient, caregiver, and clinicians on how realistic and worthwhile each goal is, so that all parties involved are committed to work towards a common end [ 25 ].…”

Terapia Ocupacional no tratamento da dor pós-acidente vascular encefálico: estudo de caso

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Effectiveness of Problem-Solving Therapy in Improving Patient Mental Health, Function, Quality of Life, and Mortality Post-Stroke: A Systematic Review

“…Anxiety and apathy often co-occur with depression, leading to delayed recovery from depression, delayed overall recovery, and increased likelihood of experiencing other diseases. Regarding coping, premorbid coping styles may be risk factors for PTSD, a common sequela among stroke survivors, and are also correlated with pain or discomfort at one year after stroke [ 8 , 12 , 59 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ]. Thus, based on these relationships and the effect of PST on improving signs of depression, anxiety, apathy, and coping, PST might indirectly affect physical and cognitive recovery, function, QoL, and mortality, as some of these outcomes (QoL and mortality) were demonstrated in the present review.…”