Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke

Reverté-Villarroya, Sílvia; Dávalos, Antoni; Font‐Mayolas, Sílvia; Berenguer‐Poblet, Marta; Sauras-Colón, Esther; López-Pablo, Carlos; Sanjuan, Estela; Muñoz-Narbona, Lucía; Soler, Rosa Suñer

doi:10.3390/ijerph17176014

Cited by 16 publications

(13 citation statements)

References 35 publications

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“…e earlier rehabilitation training is carried out, the better the rehabilitation effect of patients is [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Imaging Based on Edge Detection Algorithm in Diagnosis and Rehabilitation Nursing of Stroke Patients with Motor Dysfunction

Zhang

et al. 2021

Scientific Programming

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This study was to explore the effect of computed tomography (CT) images processed by image edge detection technology based on the improved Canny algorithm in the diagnosis of stroke patients with mobility dysfunction and to evaluate the clinical application value of early rehabilitation nursing (ERN). 114 patients who were diagnosed and treated in hospital and were suspected of having stroke movement dysfunction were selected as the research objects, and they were randomly divided into two groups, each with 57 patients. Patients in the control group were diagnosed with conventional CT examination, and the patients in observation group were diagnosed based on the CT images processed by the image edge detection technology based on the improved Canny algorithm. Patients in the observation group were divided into a group C and a group O. Patients (27 cases) in group O received rehabilitation training within 3 days after their vital signs were stabilized, and patients (30 cases) in group C received rehabilitation training within 3∼7 days after their condition was stabilized. The CT image diagnosis effects on patients of the control group and the observation group were analyzed, and the ERN effect on patients of the C group and the O group was compared. The results showed that the mean square error (MSE) of the improved Canny algorithm (233.78) was smaller than that of the traditional Canny algorithm and Sobel and Prewitt algorithm, and the peak signal-to-noise ratio (PSNR) (27.89) was greater than that of the traditional Canny algorithm and Sobel and Prewitt algorithm ( P < 0.05 ). Compared with the control group, the sensitivity (85.00% vs. 62.12%), specificity (70.59% vs. 36.36%), and accuracy (80.70% vs. 54.39%) of the examination method of the observation group were much higher ( P < 0.05 ). In addition, the total effective rate of patients in group O was 89.47%, which was greatly higher than that of group C (70.18%), and the scores of Meyer index and Barthel index were also higher in contrast to those of group C ( P < 0.05 ). In conclusion, the improved Canny algorithm showed a clearer display on the edge detection of CT images and good application effect. It showed the effect of making conventional CT more accurate in the examination and diagnosis of stroke patients, and it was worthy of clinical application and promotion. The research showed that the timelier rehabilitation training, the better the treatment effect of patients.

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“…e earlier rehabilitation training is carried out, the better the rehabilitation effect of patients is [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Imaging Based on Edge Detection Algorithm in Diagnosis and Rehabilitation Nursing of Stroke Patients with Motor Dysfunction

Zhang

et al. 2021

Scientific Programming

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“…Although MI, stroke and TIA are highly prevalent [1,23], only a few studies have assessed the prevalence of PTSD, anxiety and depression in these patient cohorts [24][25][26][27]. Moreover, data on coping strategies in these patients are even rarer [27][28][29].…”

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confidence: 99%

Prevalence and influencing factors of chronic post-traumatic stress disorder in patients with myocardial infarction, transient ischemic attack (TIA) and stroke – an exploratory, descriptive study

et al. 2021

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Background Cardio- and cerebrovascular events such as myocardial infarction (MI), stroke and transient ischemic attack (TIA) are leading causes of death and disability and have also been associated with poor mental outcomes. In addition, cardio- and cerebrovascular events may pose the risk of experiencing a sudden traumatic occurrence of symptoms during ictus and thus contribute to high rates of PTSD as well as high rates of subsequent depression and anxiety. Moreover, MI, TIA and stroke survivors with PTSD, depressive and anxiety symptoms may have poorer health-related quality of life (HRQoL) and poorer disease prognosis than patients who do not develop psychiatric symptoms after ictus. However, data on the prevalence of PTSD, anxiety and depression, as well as the HRQoL, coping strategies and potential risk factors for development of PTSD in these patients, are rare. Methods In an exploratory, descriptive study we interviewed 112 patients (54 MI, 18 TIA, 40 stroke; mean age: 69.5 years, 55.4% males) from three general physician practices and used psychometric self-assessment tools to determine the occurrence of PTSD and psychosomatic comorbidity, anxiety and depression and to assess HRQoL and coping strategies. We evaluated disease severity and compared the patient groups to each other. Moreover, we assessed psychological outcome differences between patients with or without PTSD after ictus. Results The prevalence of PTSD after MI, TIA and stroke was 23.2%. The patients who developed PTSD had higher rates of depression, anxiety and maladaptive coping as well as reduced HRQoL. Adaptive coping was positively related to better mental HRQoL and negatively related to anxiety and depression. Disease severity of MI, TIA and stroke was not related to PTSD, depression, anxiety or physical HRQoL. Conclusions Experiencing MI, TIA or stroke means confronting a life-threatening event for those affected and, therefore, these can be regarded as traumatic events. Cerebral and cardiovascular events increase the risk of developing chronic PTSD with subsequent increased depression and anxiety and reduced HRQoL. These findings emphasize the need for early screening and diagnosis of PTSD in somatically ill patients, which should be followed by specialized treatment, as PTSD hampers overall (somatic) disease prognosis. Trial registration German Clinical Trials Register, DRKS00021730, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021730, registered 05/19/2020 - Retrospectively registered.

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“…The primary purpose of this longitudinal study was to describe the relationship between coping strategies, quality of life, health habit practices (therapeutic adherence and behavioral changes), and physical and neurological status at 3 months and at 1 year poststroke. As coping strategies are usually analyzed in a stressful environment, such as a stroke, these strategies may vary depending on the influence of additional stressors [ 24 ]. Therefore, we can identify two general categories: coping strategies based on the problem and those based on emotion [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Influence of Pain and Discomfort in Stroke Patients on Coping Strategies and Changes in Behavior and Lifestyle

et al. 2021

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The implementation of prevention strategies can reduce the risk of having a stroke. This prospective, longitudinal, multicenter observational study of 82 patients describes health habits, quality of life, coping strategies, and physical and neurological status at 3 months and 1 year after stroke. The EuroQoL-5D quality of life scale (EQ-5D) and the coping strategy measurement scale (COPE-28) were used to assess pain and discomfort, and behavioral and lifestyle changes. Significant differences were observed in the pain or discomfort levels of those patients with behavioral and lifestyle changes. Correlation was also found between pain or discomfort and the coping strategies associated with active emotional support at 1 year after stroke. The results of the pain or discomfort dimension were not, however, associated with better adherence to treatment. Pain and discomfort could have a predictive value in changes in lifestyles and behaviors but not for treatment adherence in patients who have had a stroke, which is significant at 1 year. In addition to important active coping strategies such as social support, these changes in behavior and lifestyle following a stroke are long-term and should therefore be assessed during the initial examination.

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Coping Strategies, Quality of Life, and Neurological Outcome in Patients Treated with Mechanical Thrombectomy after an Acute Ischemic Stroke

Cited by 16 publications

References 35 publications

Computed Tomography Imaging Based on Edge Detection Algorithm in Diagnosis and Rehabilitation Nursing of Stroke Patients with Motor Dysfunction

Computed Tomography Imaging Based on Edge Detection Algorithm in Diagnosis and Rehabilitation Nursing of Stroke Patients with Motor Dysfunction

Prevalence and influencing factors of chronic post-traumatic stress disorder in patients with myocardial infarction, transient ischemic attack (TIA) and stroke – an exploratory, descriptive study

Influence of Pain and Discomfort in Stroke Patients on Coping Strategies and Changes in Behavior and Lifestyle

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