Domains and determinants of quality of life after stroke caused by brain infarction

Kauhanen, Marja-Liisa; Korpelainen, Juha T.; Hiltunen, Pirkko; Nieminen, Pentti; Sotaniemi, K. A.; Myllylä, Vilho V.

doi:10.1053/apmr.2000.9391

Cited by 139 publications

(125 citation statements)

References 34 publications

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“…International studies performed with larger population samples, with CVA victim subjects, show similar socio-demographic data to this study, including the average age, above 60 years, the sex, male subjects, and the marital status, married individuals (10)(11) . The encephalovascular diseases frequency grows exponentially with age (11) .…”

Section: Discussionsupporting

confidence: 80%

“…The caregiver presence is considered essential to on such patients treatment so as to stimulate them and assist in daily life activities, however, his/her intervention may influence in the CVA patients' recovery and rehabilitation, not only in a positive way, through incentives, but also negatively, when they underestimate or overestimate the patients' capacity (10) . In a study with elderly after the first CVA, it was possible to observe that a better cognitive state in the admission was related to a better result for the FIMm and with a shorter time as an inpatient (15) .…”

Section: Discussionmentioning

confidence: 99%

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Avaliação da capacidade funcional de idosos com acidente vascular encefálico

Cruz

Diogo

2009

Acta paul. enferm.

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Objective: To evaluate the functional capacity of elders with encephalic vascular accident (EVA) and to examine the association between sociodemographic variables and functional capacity. Methods: Interviews with 44 elders who had EVA were conducted during their assessment and treatment in the data collection settings. The instrument contemplated clinical and social-demographic variables. Functional Independence Measure (FIM) was used to measure the subjects' functional capacity. Results: Most subjects were between 60 and 69 years of age. The MIF had good internal consistency reliability estimate. Subjects had a mean score of 97.0 on FIM. Mann-Whitney test indicated that participants who had access to health care services had higher FIM scores than individuals without health care access. Pearson's correlation analysis indicated a significantly negative correlation coefficient between age and FIM score. Conclusion: Encephalic vascular accident is associated with alterations in functional capacity of the sample of this study. This finding suggests the need for the use of effective rehabilitation strategies to help individuals who have decreased functional capacity due to normal aging and/or sequela to encephalic vascular accident. Keywords: Aged; Cerebrovascular accident; Geriatric assessment RESUMO Objetivo: Avaliar a capacidade funcional de idosos com acidente vascular encefálico (AVE) e verificar a relação, bem como a influência de variáveis sociodemográficas e de saúde na capacidade funcional desses sujeitos. Métodos: Foram realizadas entrevistas com 44 idosos, vítimas de AVE, durante o atendimento nos locais de coleta de dados. O instrumento de coleta de dados contemplou dados sociodemográficos e clínicos. Para avaliar a capacidade funcional dos sujeitos foi aplicado o instrumento de Medida de Independência Funcional (MIF). Resultados: Houve predomínio da faixa etária entre 60 e 69 anos. A MIF apresentou boa consistência interna. A pontuação total MIF dos apresentou média de 97,0. Os pacientes com acesso ao serviço de saúde apresentaram valores superiores aos dos indivíduos que não tinham acesso (Teste de Mann-Whitney). Foi observada correlação negativa entre a MIF e seus domínios e a idade (Pearson). Conclusão: O AVE causou alteração na capacidade funcional dos sujeitos da pesquisa, o que aponta para a necessidade de se investir em estratégias de reabilitação que venham a amenizar as perdas funcionais advindas da própria idade e, principalmente, das seqüelas de AVE. Descritores: Idoso; Acidente vascular encefálico; Avaliação geriátrica RESUMEN Objetivo: Evaluar la capacidad funcional de personas adultas mayores con accidente vascular encefálico (AVE) y verificar la relación, así como la influencia de variables sociodemográficas y de salud en la capacidad funcional de esos sujetos. Métodos: Fueron entrevistadas 44 personas adultas mayores, víctimas de AVE, durante la atención en los locales de recolección de datos. El instrumento de recolección de datos incluyó datos sociodemográficos y clínicos. Para...

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Avaliação da capacidade funcional de idosos com acidente vascular encefálico

Cruz

Diogo

2009

Acta paul. enferm.

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“…In addition it seems that being married carries a risk for low quality of life, and that unmarried patients cope well with their impairments (Kauhanen et al 2000). In addition living with a spouse could be a negative predictor of social activity (Schepers et al 2005).…”

Section: Results and Discussion Study Populationmentioning

confidence: 99%

The influence of demographic, environmental and physical factors on functional independence post stroke

Mamabolo

Mudzi

Stewart

et al. 2008

South African Journal of Physiotherapy

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Purpose: The magnitude of disability observed in strokesurvivors is believed to be dependent in part, on the severity of neurological deficits incurred. A s important but less well understood, is thecontribution of demographic, physical and environmental factors. The objective of this study was to establish what demographic, environmentaland physical factors influence functional independence post stroke. Method: Convenience sampling was used in the selection of subjects from four stroke outpatient public health facilities in the Gauteng Province of South Africa. The data were collected using a structured questionnaire. The analytical tools used included descriptive statistics to measure percentages and cross tabulations to measure the level of associations between functional independence and some of the demographic factors. The Barthel Index was computed to establish the degree of functional independence. Finally the influence of factors on functional independence was investigated using bivariate logistic regressions.Results: The results showed that younger patients (18 - 34 yrs) may have a higher likelihood of functional independence compared to older patients at the time of discharge from hospital (18 - 34 years: Odds Ratio = 1). Patients without helpers were more likely to be functionally independent than those with a helper (p = 0.03). Involvement in household activities (p = 0.01), participation in community activities (p = 0.02) and bowel and bladder continence (p = 0.003 and p = 0.04) improved the likelihood of functional independence.Conclusion and im plications: Factors that influence functional independence post stroke are: age, bowel and bladder continence, the presence of a caregiver, participation in household and community activities. It is also of value to encourage patients to participate in household and community activities post stroke as well as being less dependent on helpers in an effort to attain functional independence post stroke.

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“…Taking into account that the sample was composed of individuals with chronic stroke, these findings may be related to recovery of physical and cognitive functions. According to Rabelo and Néri 24 , recovery tends to reach stabilization within six months after the occurrence of stroke and allows the individuals to learn how to cope with their disabilities, and this fact appeared to have positive effects on HRQOL 25 .…”

Section: Discussionmentioning

confidence: 99%