Interactions of Cognitive and Physical Functions Associated with Toilet Independence in Stroke Patients

Fujita, Takaaki; Yamamoto, Yuichi; Yamane, Kazuhiro; Ohira, Yoko; Otsuki, Koji; Sone, Toshimasa; Iokawa, Kazuaki

doi:10.1016/j.jstrokecerebrovasdis.2021.105641

Cited by 5 publications

(5 citation statements)

References 29 publications

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“…Cognitive function among stroke survivors is also a concept associated with functional dependence 15 . Among stroke survivors, decreased cognitive function has been directly associated with toileting dependence, 16 and this finding likely extends to other ADLs. Cognitive function has also been significantly linked to the ability of stroke survivors to perform instrumental activities of daily living (IADLs) 17 …”

Section: Definitions and Uses Of The Conceptmentioning

confidence: 99%

“…26 Cognitive function was commonly assessed in the articles reviewed and was associated with a decline in regular function and increased caregiving. [15][16][17] As stroke survivors became increasingly unable to communicate, engage in proper social cognition, or cognitive instrumental activities of daily living, the extent of caregiving would increase. An instrument identified that measured this factor was the Performance Assessment of Self-Care Skills.…”

Section: Empirical Referentsmentioning

confidence: 99%

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Functional dependence among stroke survivors: A concept analysis

Shamoun

2022

Nursing Forum

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Aim: To report an analysis of the concept of functional dependence among stroke survivors.Background: Functional dependence among stroke survivors is a focal stimulus that leads to caregiver burden and can be measured and applied to research and theory in different ways depending on the researcher's interpretation of the concept.Design: A concept analysis was conducted using the method described by Walker and Avant.Data Source: A review of the literature was conducted using the CINAHL and PubMed databases. Lay literature, such as the Merriam-Webster dictionary was included.Results: Through the identification and analysis of definitions and uses of the concept, the defining attributes were found to be (1) inability to perform regular functions and (2) dependence on a caregiver to perform regular functions which form the conceptual and operational definitions. A model, borderline, and the related case of the conceptual definition are provided. One antecedent, two consequences, and four empirical referents are identified, alongside the instruments used to measure the empirical referents.Conclusions: With functional dependence being so closely tied to caregiver burden, researchers and clinicians should take a dyadic approach to caring for this patient population to ensure both perspectives are considered, and optimal patient outcomes are achieved.

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Section: Definitions and Uses Of The Conceptmentioning

confidence: 99%

Section: Empirical Referentsmentioning

confidence: 99%

Functional dependence among stroke survivors: A concept analysis

Shamoun

2022

Nursing Forum

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“…Studies have recently reported an interaction of cognitive and physical functions associated with independence of self-care and gait in stroke patients. [13][14][15] Therefore, a combination of factors might facilitate or make home discharge more difficult. If this interaction becomes clear, it can provide a new perspective for prognosis prediction.…”

Section: Introductionmentioning

confidence: 99%

Age-stroke related dysfunction interaction associated with home discharge of stroke inpatients in the rehabilitation ward

Fujita

Yamane²,

Yamamoto³

et al. 2023

Medicine

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The purpose of this study was to investigate whether interactions exist among cognitive and physical functions and activities of daily living (ADL) associated with home discharge of stroke patients in the rehabilitation ward. The subjects were 231 patients with a first stroke. Age, gender, affected side, the stroke impairment assessment set, ADL and discharge destination were collected from the medical record. Using a decision tree, a combination of variables that might have an interaction effect associated with home discharge was extracted. The existence of an interaction between the extracted variables was confirmed by logistic regression analysis. A combination of total score of the stroke impairment assessment set (≤27 points) and age (>76.5 years) at admission was extracted from the decision tree. As a result of the logistic regression analysis, this interaction term was significantly associated with home discharge. The findings of the present study suggest that there is an interaction between age and strokerelated dysfunction related to home discharge. Stroke patients aged over 76.5 years with the stroke impairment assessment set score of 27 or less at admission to the rehabilitation ward may need rehabilitation program considering the difficulty of home discharge.Abbreviations: ADL = activities of daily living, SIAS = the stroke impairment assessment set.

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“…The ability to independently urinate is an important issue related to human dignity 1 . Severe damage to motor and cognitive functions by stroke impairs activities of daily living (ADL) and independence in voiding behavior 2,3 . Lower urinary tract symptoms (LUTS) also stem from central nervous system damage, which affects about 21%–47% people after a stroke 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…1 Severe damage to motor and cognitive functions by stroke impairs activities of daily living (ADL) and independence in voiding behavior. 2,3 Lower urinary tract symptoms (LUTS) also stem from central nervous system damage, which affects about 21%-47% people after a stroke. 4,5 After cerebral edema and other symptoms are alleviated, LUTS are replaced by storage dysfunction due to detrusor overactivity.…”

Section: Introductionmentioning

confidence: 99%

Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study

Shogenji

Yoshida

Sumiya

et al. 2022

Neurourology and Urodynamics

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Aims: Many stroke patients cannot urinate independently due to motor and cognitive dysfunctions. This study examined whether a continuous continence self-management program during acute and convalescent phases is associated with independence in voiding behavior.Methods: A retrospective cohort study was conducted among stroke patients registered in the Council of Kaga Local Stroke Network, Japan, from 2015 to 2019. In the intervention group (n = 941), a multidisciplinary continence care team and ward nurses provided continence care in the acute phase and shared the information with the staff in the convalescent ward. The control group (n = 579) received traditional voiding care from ward nurses. The primary and secondary outcomes were independence in voiding behavior at discharge from the convalescent ward and length of hospital stay, respectively.Results: At discharge from the convalescent wards, the proportion of patients who voided at the toilet or bedside commode was higher in the intervention group than in the control group (76.3% vs. 62.4%, p < 0.001). The continuous continence self-management program was associated with independence in voiding behavior (adjusted odds ratio: 1.801, 95% confidence interval [CI]:[1.102, 2.942]; p = 0.019) and length of hospital stay (β: −0.178, 95% CI: [−14.320, −7.607]; p < 0.001) after adjusting for other variables. Conclusions: The program was associated with increasing independent voiding behavior and shortened the length of hospital stay, suggesting the importance of promoting treatments for lower urinary tract symptoms and rehabilitation by a multidisciplinary continence care team for stroke patients.

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Interactions of Cognitive and Physical Functions Associated with Toilet Independence in Stroke Patients

Cited by 5 publications

References 29 publications

Functional dependence among stroke survivors: A concept analysis

Functional dependence among stroke survivors: A concept analysis

Age-stroke related dysfunction interaction associated with home discharge of stroke inpatients in the rehabilitation ward

Association of a continuous continence self‐management program with independence in voiding behavior among stroke patients: A retrospective cohort study

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