Perceived Participation and Its Correlates Among First-Stroke Survivors at Six Months After Discharge From a Tertiary Hospital in China

He, Yide; Meng, Xianmei; Gao, Chenchen; Liu, Zhihui; Zhou, Luting

doi:10.1016/j.apmr.2017.09.120

Cited by 18 publications

(21 citation statements)

References 33 publications

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“…The mean score of the IPA was 41.30 ( SD 21.22), which is like the results in Chen et al. (2018)'s study (mean = 40.39 SD 15.29). However, scores of the four subscales were substantively higher than those reported in the study by Palstam et al.…”

Section: Discussionsupporting

confidence: 87%

“…The score range of IPA‐C is 0–100 and a lower score indicates better self‐perceived participation and autonomy (He et al., 2013). The IPA‐C has been previously used in various populations including stroke patients, with reported Cronbach's α values of each domain between 0.81‐0.91 (Chen et al., 2018; He et al., 2013; Li et al., 2018).…”

Section: The Studymentioning

confidence: 99%

“…The study protocol was reviewed and approved by the Second Military Medical University and this paper obeyed the principle of STROBE guidelines. All the questionnaires used in this research were Chinese version questionnaires with well‐established psychometric properties and most had been tested in the population of Chinese stroke patients (Chen et al., 2018; He et al., 2013; Liang, 2012; Zhang et al., 2020) except the MSPSS. In this study, the Cronbach's α values for internal consistency of the MSPSS subscales are between 0.86–0.93 and the construct validity of the MSPSS is acceptable.…”

Section: The Studymentioning

confidence: 99%

“…Further, the participation of stroke patients is understudied, with the existing studies mainly focused on specific stroke patients at a particular disease period (Chen et al, 2017(Chen et al, , 2018. For example, in Chen et al (2017)'s study, the participants were limited to stroke patients 3 months after a first-ever stroke.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceived participation and autonomy post‐stroke and associated factors: An explorative cross‐sectional study

Zhang

et al. 2020

Journal of Advanced Nursing

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Aims To explore the level and associated factors of perceived participation and autonomy among stroke survivors in Shanghai, China. Design Cross‐sectional explorative study. Methods From January to December 2018, 431 patients presenting at the neurology departments of three hospitals with a confirmed diagnosis of stroke were recruited. Impact on Participation and Autonomy Questionnaire, modified Rankin Scale, Self‐efficacy for Managing Chronic Disease six‐item Scale, Medical Coping Modes Questionnaire and Multidimensional Scale of Perceived Social Support were applied to measure their participation, physical function, self‐efficacy, coping styles, and social support. Results The average score of perceived participation and autonomy was 41.30 (SD 21.22); and 54.3%, 46.9%, 21.6%, and 7.7% of the participants reported poor participation in social relations, family role, autonomy indoors, and autonomy outdoors. Age, physical function, self‐efficacy, friend support, and knowledge of stroke were predictors of post‐stroke participation. Physical function and self‐efficacy were the most relevant factors of nearly all domains of participation except autonomy outdoors, while predictors of autonomy outdoors were social support, resignation coping style, and knowledge of stroke. Conclusion The stroke patients experienced insufficient participation compared with previous studies in western countries. Patients' physical function and self‐efficacy were particularly important and contributed to their participation, while the patient's age, perceived social support, coping styles, and knowledge of stroke also played a role in formulating participation. Impact The results may be used to provide nurses with a better understanding of the participation among stroke patients and assist them in promoting the post‐stroke participation. Nurses should pay special attention to those with older age, worse physical function, lower self‐efficacy, less support, little stroke‐related knowledge, or who applied resignation coping style since those patients might experience lower participation in their daily life. It needs further studies to explore the causal effects of self‐efficacy, coping styles, and social support on post‐stroke participation.

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Section: Discussionsupporting

confidence: 87%

Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceived participation and autonomy post‐stroke and associated factors: An explorative cross‐sectional study

Zhang

et al. 2020

Journal of Advanced Nursing

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Post-Stroke Depression in Older Adults: An Overview

Masuccio,

Grange,

Di Giovanni

et al. 2024

Drugs Aging

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Prevalence, Patterns, and Predictors of Multimorbidity in Adults With Acquired Brain Injury at Admission to Staged Community-Based Rehabilitation

Jackson

Troeung²,

Martini³

2020

Archives of Rehabilitation Research and Clinical Translation

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Objectives To describe the prevalence, patterns, and predictors of multimorbidity in adults with an acquired brain injury (ABI) on presentation to a community-based neurorehabilitation service. Design Retrospective cohort study using routinely collected admissions and clinical data. Setting Community-based neurorehabilitation. Participants Individuals (N=263) with non-traumatic brain injury (NTBI; n=187 [71.1%]) versus traumatic brain injury (TBI; n=76 [28.9%]). Interventions Not applicable. Main Outcome Measures Comorbidity was defined as the co-occurrence of at least one chronic condition in conjunction with a primary diagnosis of ABI. Multimorbidity was defined as the co-occurrence of 2 or more chronic conditions across 2 or more body systems, in conjunction with a primary diagnosis of ABI. Results Comorbidity was present in 72.2% of participants overall, whereas multimorbidity was present in 35.4% of the cohort. The prevalence of comorbidity (76% vs 63%; P =.036) and multimorbidity (40% vs 24%; P =.012) was higher in NTBI compared with participants with TBI. Participants with NTBI had a higher prevalence of physical health multimorbidities, including cardiovascular (44% vs 6%; P <.001) and endocrine (34% vs 10%; P =.002) disease, whereas participants with TBI had a higher prevalence of mental health conditions (79% vs 48%; P <.001). Depression (36.3%) and hypertension (25.8%) were the most common diagnoses. Increasing age was the only significant predictor of multimorbidity. Conclusions Most participants experienced multimorbidity. Effective management of multimorbidity should be included as part of individual rehabilitation for ABI and planning of resource allocation and service delivery. The results of this study can help guide the provision of treatment and services for individuals with ABI in community-based rehabilitation. Our study highlights access to mental health, cardiovascular, endocrine, and neurology services as essential components of rehabilitation for ABI.

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Perceived Participation and Its Correlates Among First-Stroke Survivors at Six Months After Discharge From a Tertiary Hospital in China

Cited by 18 publications

References 33 publications

Perceived participation and autonomy post‐stroke and associated factors: An explorative cross‐sectional study

Perceived participation and autonomy post‐stroke and associated factors: An explorative cross‐sectional study

Post-Stroke Depression in Older Adults: An Overview

Prevalence, Patterns, and Predictors of Multimorbidity in Adults With Acquired Brain Injury at Admission to Staged Community-Based Rehabilitation

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