Utilisation of self‐care products and practices and its associated factors among stroke survivors

Abstract

This study explored the characteristics associated with the use of self‐care products and practices by people rehabilitating from stroke. A cross‐sectional sub‐study of the Sax Institute's 45 and Up Study in which 1300 participants who had indicated a doctor had diagnosed them as having had a stroke were mailed a sub‐study survey. The survey instrument included questionnaire items on demographics, self‐care products and practices, health status and stroke status. The survey was completed by 576 (44.3%) of those eligible. At least one self‐care product or practice was used by 39.9% of participants. Female participants were more likely than males to use self‐care products (P ≤ .001) and self‐care practices (P = .021). Self‐care product use was higher amongst those with higher levels of fatigue (OR = 1.07) and/or those reporting slight (OR = 2.05) or moderate disability (OR = 2.28), compared with those who had no symptoms at all. As the burden of stroke survivorship increases because of improved acute stroke care in an ageing population, a stronger focus is needed by researchers, clinicians and policy makers on the self‐care strategies used by stroke survivors and the ability for health professionals to appropriately support stroke survivors’ in their rehabilitation and long‐term management.

What is the healthcare utilisation and out-of-pocket expenditure associated with osteoarthritis? A cross-sectional study

“…The women were presented with a list of three conventional medical practitioners (ie, medical specialists, general practitioner, hospital doctor) and seven allied health practitioners (ie, nurse, counsellor, psychologist, pharmacist/chemist, dietitian, physiotherapist, occupational therapist)13 and asked to indicate if they consulted any of them for their OA in the previous 12 months. The women were also supplied with a list of 11 CM practitioners (ie, homeopath, acupuncturist, massage therapist, chiropractor, nutritionist, naturopath/herbalist, yoga instructor, meditation instructor, osteopath, traditional Chinese medicine practitioner and an ‘other’ CM practitioner option), and asked to specify if they consulted with any of these practitioners for their OA in the previous 12 months 15…”

“…The women were also supplied with a list of 11 CM practitioners (ie, homeopath, acupuncturist, massage therapist, chiropractor, nutritionist, naturopath/herbalist, yoga instructor, meditation instructor, osteopath, traditional Chinese medicine practitioner and an 'other' CM practitioner option), and asked to specify if they consulted with any of these practitioners for their OA in the previous 12 months. 15 The women were provided with an additional list of 11 CM products/practices (ie, homeopathic remedies, aromatherapy oils, herbal medicine, multivitamins, glucosamine/chondroitin, fish oil, meditation without an instructor, yoga without an instructor and two 'other' CM products/practices options) and asked to specify if they used any of these products/practices during the previous 12 months. Women were also asked to list any prescription medications they had used for their OA during the previous 12 months.…”

Distúrbio de verticalidade visual após acidente vascular cerebral: estudo coorte e efeitos da estimulação elétrica por corrente contínua de alta definição

“…Outra situação notável é o aumento significativo nas taxas de ocorrência na população com faixa etária entre 15 a 49 anos de idade, ou seja, economicamente ativa (FEIGIN, 2019). A maioria destes sobreviventes apresentam algum tipo de sequela, incluindo distúrbios visuais e de linguagem, depressão, alterações de raciocínio e memória, déficits motores, sensoriais, visuoespaciais, posturais e de locomoção (SIBBRITT et al, 2021;SKOLARUS et al, 2014). Outra característica relevante é a fadiga após AVC, presente em cerca de 23% a 75%, advinda de distúrbios psicocognitivos, fisiológicos e orgânicos (CHOI-KWON; KIM, 2011).…”