Patient mood and carer strain during stroke rehabilitation in the community following early hospital discharge

Jones, Amanda; Charlesworth, Jonathon; Hendra, T. J.

doi:10.1080/096382800413970

Cited by 34 publications

(27 citation statements)

References 19 publications

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“…Either a stroke nurse or a social worker offered information or therapy in the community. Only four of these studies [12,21,23,25] found significant improvement for the caregiver. Dennis et al [12] evaluated a stroke family care worker, who tried to identify unmet needs and aimed at fulfilling these needs accordingly.…”

Section: Effects Of Type Of Interventionmentioning

confidence: 93%

“…Of these 10 studies there was significant reduction of depression [12,17], improvement of knowledge [11,13,18,23,29] improvement in satisfaction with care [12], improvement in family functioning [13], improvement in quality of life [17,24,25], better problem solving skills [17,18], more social activities in daily life [13,25], more social support [13,18] and less burden [13,21].…”

Section: Outcomementioning

confidence: 99%

See 1 more Smart Citation

Intervention studies for caregivers of stroke survivors: a critical review

Visser‐Meily¹,

Heugten²,

Post³

et al. 2005

Patient Education and Counseling

174

161

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Section: Effects Of Type Of Interventionmentioning

confidence: 93%

Section: Outcomementioning

confidence: 99%

Intervention studies for caregivers of stroke survivors: a critical review

Visser‐Meily¹,

Heugten²,

Post³

et al. 2005

Patient Education and Counseling

174

161

View full text Add to dashboard Cite

“…Improving patients' mood is also important because it may affect the patient-care partner relationship following discharge. 63 In a study of music and patients' mood that used a single subject design, Magee and Davidson 6 used the Profile of Mood States instrument in a cohort of 14 patients (4 with stroke, 5 with multiple sclerosis, and 5 with traumatic brain injury) and reported that composed-anxious, energetic-tired, and agreeablehostile mood states were significantly improved from before to after a music therapy intervention. Thus, it is reasonable to consider that music therapy may also help to maintain a positive outlook in other neurologically injured stroke patients who are undergoing rehabilitation therapy.…”

Section: Role Of Music In Stroke Rehabilitationmentioning

confidence: 99%

Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Supnet

Crow²,

Stutzman

et al. 2016

Critical Care Nurse

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Nurses caring for patients with acute stroke are likely to administer both music and medication with therapeutic intent. The administration of medication is based on accumulated scientific evidence and tailored to the needs of each patient. However, the therapeutic use of music is generally based on good intentions and anecdotal evidence. This review summarizes and examines the current literature regarding the effectiveness of music in the treatment of critically ill patients and the use of music in neurologically injured patients. The rationale for hypothesis-driven research to explore therapeutic music intervention in acute stroke is compelling. (Critical Care Nurse. 2016;36[2]:e1-e7) "Music hath charms to soothe the savage breast." W. Congreve, The Mourning Bride M usic has long been used in health care for its healing powers and has given rise to the practice of music therapy. The American Music Therapy Association defines music therapy as the "clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program."1 Board-certified music therapists employ customized music therapy interventions based on the best evidence from published literature, their training and expertise, and the needs of the patient.1 Music therapy is powerful, physically noninvasive, and can mediate positive outcomes when

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“…The BI correlates highly with motor ability and physical disability, 8,41,42 leaving cognitive and psychological consequences common to stroke as predictors of a poor outcome potentially neglected. 13,19,31 Furthermore, the BI and mRS have been shown to be inconsistent indicators of independence due to the lack of consensus between measures, 37,38 which calls into question the clinical and research utility of the BI and mRS to measure perceptions of disability, independence, and participation.…”

Section: 2628mentioning

confidence: 99%

Assessment of outcome following decompressive craniectomy for malignant middle cerebral artery infarction in patients older than 60 years of age

Arac

Blanchard

Lee

et al. 2009

FOC

106

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Object Decompressive surgery can be life saving after malignant cerebral infarction. However, severe residual disability occurs in a significant number of surviving patients. Most discussion about the benefits of surgery is based on studies performed in patients who are ≤ 60 years of age. Less is known about the benefits of the procedure in the elderly population. The authors undertook a review of the literature on decompressive craniectomy for malignant cerebral infarction and compared the mortality and outcome data published in patients older and younger than 60 years of age. The authors discuss their analysis, with specific reference to the limitations of the studies analyzed, the outcome measures used, and the special considerations required when discussing stroke recovery in the elderly. Methods Studies on decompressive craniectomy for malignant middle cerebral artery infarction reported in the English literature were analyzed. A cutoff point for age of > 60 or ≤ 60 years was set, and the study population was segregated. No studies specifically analyzed patients > 60 years old. A total of 19 studies was identified, 10 of which included patients who were > 60 years of age. A comparison between the 2 age groups was made within the 10 studies and also among all the patients in the 19 studies. Mortality rates and outcome scores were assessed for each study, and a Barthel Index (BI) score of < 60 or a modified Rankin Scale (mRS) score of > 3 was considered to represent a poor outcome. Rates were compared using the Fisher exact test, and p values < 0.05 were considered statistically significant. Results Nineteen studies were found, which included 273 patients undergoing decompressive craniectomy for malignant cerebral infarcts. Ten of these studies included 73 patients (26.7%) who were > 60 years of age. The mean follow-up times ranged from 5.75 to 12.3 months in the > 60-years group and 4.2 to 28 months in the ≤ 60-years group. The mortality rate was significantly higher, at 51.3% in the > 60-years group (37 of 72 patients) compared with 20.8% (41 of 197 patients) in the ≤ 60-years group (p < 0.0001). Similarly, patients who survived in the > 60-years group had significantly higher rates of poor outcomes, at 81.8% (27 of 33), compared with 33.1% (47 of 142) in the ≤ 60-year-old group (p < 0.0001). The BI was the most commonly used primary outcome measure (15 out of 19 studies), followed by the mRS score, which was used in 4 studies. Conclusions The mortality rate and functional outcome, as measured by the BI and mRS, were significantly worse in patients > 60 years of age following decompressive craniectomy for malignant infarction. Age is an important factor to consider in patient selection for surgery. However, cautious interpretation of the results is required because the outcome scores that were used only measure physical disability, whereas other factors, including psychosocial, financial, and caregiver burden, should be considered in addition to age alone.

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Patient mood and carer strain during stroke rehabilitation in the community following early hospital discharge

Abstract: Carer stress and patients depression scores are related to the severity of stroke-related disability. Strategies to address patient mood and carer stress should be present in community services providing early stroke rehabilitation.

Cited by 34 publications

References 19 publications

Intervention studies for caregivers of stroke survivors: a critical review

Intervention studies for caregivers of stroke survivors: a critical review

Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Assessment of outcome following decompressive craniectomy for malignant middle cerebral artery infarction in patients older than 60 years of age

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