Multi-Level Factors Associated with Social Participation among Stroke Survivors: China’s Health and Retirement Longitudinal Study (2011–2015)

Cai, Yi; Towne, Samuel D.; Bickel, C. Scott

doi:10.3390/ijerph16245121

Cited by 24 publications

(23 citation statements)

References 26 publications

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“…Depression is a common mental symptom after stroke, with an incidence of 5–67% ( 19 ). One study reported that depression in stroke patients in the rehabilitation stage could affect the frequency of social activities and the possibility of social participation, finding a negative correlation ( 20 ). In this study, patients did not exhibit the same level of improvement in the psychosocial domain as in the other fields, suggesting that stroke patients need long-term and sustained social and psychological support.…”

Section: Discussionmentioning

confidence: 99%

The Application of the Omaha System in Community Rehabilitation Nursing for Patients With Stroke and Previous Falls

et al. 2022

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ObjectiveThis study aimed to explore the use of the Omaha System in rehabilitation and nursing methods and the effects on patients within the community who had experienced stroke and previous falls.MethodsThis study enrolled 42 patients who had experienced stroke and previous falls and had returned to the community after being discharged from the Department of Neurology and Rehabilitation of the Affiliated Hospital of Nanchang University from January to July 2018. The patients were randomly divided into two groups: an experimental group (n = 21) and a control group (n = 21). Patients in the control group received routine community rehabilitation care, and patients in the experimental group received community rehabilitation care on the basis of the Omaha System. Intervention lasted for 1 year. The Omaha outcome score, the ability to perform activities of daily living (ADL) (measured via the Modified Barthel Index [MBI]), and the incidence of falls for each group were compared before and after the intervention.ResultsAfter 1 year of intervention, the Omaha outcome score and MBI of both groups were higher than before; the Omaha outcome score and MBI of the experimental group were higher than those of the control group; the differences were statistically significant (P < 0.05). No fall occurred in either of the two groups.ConclusionThe Omaha System can comprehensively evaluate the health problems of patients, guide nursing intervention, and quantitatively evaluate the effect of nursing intervention; it is therefore worthy of promotion.

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Section: Discussionmentioning

confidence: 99%

The Application of the Omaha System in Community Rehabilitation Nursing for Patients With Stroke and Previous Falls

et al. 2022

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“…Since the primary goal of post-stroke rehabilitation is to help patients reintegrate with their families and social life [ 23 ]. Therefore, not only good physical ability but also good cognitive and behavioral ability are required to reach that goal [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Stroke outcome assessment: Optimizing cutoff scores for the Longshi Scale, modified Rankin Scale and Barthel Index

et al. 2021

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The Longshi Scale, a visual-based scale, is reliable and valid in activity assessment, but lacks cutoff definition corresponding to classical scales such as the modified Rankin Scale and Barthel Index. Therefore, this study aimed to investigate the relationships of the Longshi Scale with the modified Rankin Scale and Barthel Index and optimize cutoff scores of these scales in stroke outcomes assessment. This is a cross-sectional study. Stroke patients were measured concurrently by the Longshi scale, modified Rankin Scale and Barthel Index. Kruskal-Wallis test and Spearman correlation analysis were used to analyze the differences and associations among the three scales. The receiver operating characteristic curve was performed to determine the optimal cutoff scores. A total of 5475 stroke patients (67.3% ischemic) were included in this study. There are close relationships of the Longshi Scale with adjusted modified Rankin Scale and Barthel Index (r = -0.861, 0.922; p<0.001, <0.001; respectively). The activity levels assessed by adjusted modified Rankin Scale and Barthel Index among different Longshi scale grades were significantly different (χ2:4217.27, 4676.55; p<0.001, <0.001; respectively). The optimal cutoff scores were adjusted modified Rankin Scale 4, 3, 3, 3, 2 for Longshi scale grade 2 to 6 (sensitivity%: 96.12, 70.24, 89.10, 96.80, 86.23, specificity%: 72.72, 98.29, 93.81, 79.82, 92.89, respectively), and Barthel Index 15, 45, 60, 75, 80 for Longshi scale grade 2 to 6 (sensitivity%: 92.54, 89.28, 91.32, 90.30, 95.65, specificity%: 95.48, 89.51, 94.02, 90.41, 90.62, respectively). In conclusion, the classification of Longshi Scale is consistent with those of modified Rankin Scale and Barthel Index. We recommend the Longshi Scale as an effective supplement for modified Rankin Scale and Barthel Index in assessing the outcome in acute stroke patients.

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“…However, patients who had a stroke are often older,10 11 complicated with various chronic diseases,12 and with a lack of physical and social activities 13. For instance, based on China Health and Retirement Longitudinal Study (CHARLS) (2011–2015), Cai et al found that more than half of the patients reported no social participation 14…”

Section: Introductionmentioning

confidence: 99%

Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey

Liu

Zhou

et al. 2022

BMJ Open

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ObjectivesThis study reports the life satisfaction of middle-aged and elderly patients who had a stroke in China, and explores its association with patients’ sociodemographic characteristics, health status, lifestyles and family relationship.DesignCross-sectional survey.Setting and participantsThe samples of this study were selected from the data of China Health and Retirement Longitudinal Study (CHARLS) in 2018, which covered 28 provinces, 150 countries/districts and 450 village/urban communities. 1154 patients who had a stroke aged 45 and over were included in this study as qualified samples.Outcome measuresDescriptive analysis was used to report sociodemographic characteristics, health status, lifestyles, family relationship and life satisfaction of middle-aged and elderly patients who had a stroke. χ2 analysis and binary logistic regression were used to analyse the factors influencing the life satisfaction of the patients who had a stroke.ResultsOverall, 83.1% of patients who had a stroke were satisfied with their lives, although only 8.7% rated their own health as being good. Patients who had a stroke who were male, elderly, married, living with their spouses and having a pension were more likely to report satisfaction with life (p<0.05). Self-rated health, health satisfaction, chronic lung disease, fall, pain, ability to work and family relationships were also significantly associated with life satisfaction (p<0.05). Patients who drank alcohol (86.8% vs 81.7%, p=0.041), had physical activity (84.4% vs 75.6%, p=0.004) and had social activity (85.3% vs 80.8%, p=0.041) were more satisfied with their lives than those who did not. Multivariable analysis confirmed that age, health satisfaction, physical pain, working ability, relationships with spouse and with children had significant effects on life satisfaction of patients who had a stroke (p<0.05).ConclusionsOur study indicates the importance of improving the overall health of patients who had a stroke and mediating factors, such as pain management, and work ability, spouse and children relationship in improving the life satisfaction of patients in the poststroke rehabilitation.

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Multi-Level Factors Associated with Social Participation among Stroke Survivors: China’s Health and Retirement Longitudinal Study (2011–2015)

Cited by 24 publications

References 26 publications

The Application of the Omaha System in Community Rehabilitation Nursing for Patients With Stroke and Previous Falls

The Application of the Omaha System in Community Rehabilitation Nursing for Patients With Stroke and Previous Falls

Stroke outcome assessment: Optimizing cutoff scores for the Longshi Scale, modified Rankin Scale and Barthel Index

Life satisfaction and its influencing factors of middle-aged and elderly stroke patients in China: a national cross-sectional survey

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