Perceived stress in elderly stroke survivors after hospital discharge to home

Santos, Emanuella Barros dos; Rodrigues, Rosalina Aparecida Partezani; Marques, Sueli; Pontes-Neto, Octávio Marques

doi:10.1590/s0080-623420150000500013

Cited by 12 publications

(47 citation statements)

References 22 publications

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“…In Portugal, a research with 47 elderlies of a Long-stay Institution found a score of 3.1 points (20) for the domain. When analyzing studies that applied the PSS in elderly in different contexts, the mean found was lower than that of a research conducted in the United States, 26.9 points (5) , and higher than that of two Brazilian studies that obtained mean of 18.5 points (6) and 14.0 points (21) . In Brazil, researchers used the PSS to assess the factors associated with perceived stress in 341 elderlies who provided care to elderlies in different contexts of dependence that resided in the community.…”

Section: Discussioncontrasting

confidence: 69%

Stress and optimism of elderlies who are caregivers for elderlies and live with children

et al. 2017

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Objective: to evaluate the relation between stress and optimism of elderlies who are informal caregivers for elderlies and live with children. Method: cross-sectional study on 50 elderlies who provide care to elderlies, live with children, and are registered in the primary health care. The interviews occurred in the participant's residence and we evaluated characteristics of the care-dependent elderly and of the children, sociodemographic characteristics, stress through the Perceived Stress Scale and optimism through the Pinto and Pais-Ribeiro Spirituality Scale, in the elderly caregiver. For statistical analysis we used the Spearman correlation test. Results: the mean level of stress was 23.9 points and of optimism was 3.3 points. Correlation analysis showed that the higher the level of optimism the signifi cantly lower the level of perceived stress of elderlies who provided care to elderlies and lived with children. Conclusion: inversely proportional correlation was identifi ed between stress and optimism. Descriptors: Elderly; Child; Caregivers; Family Relationships; Relationship Between Generations. RESUMO Objetivo: avaliar a relação entre estresse e otimismo de idosos cuidadores informais de idosos e que residem com crianças. Método: estudo transversal com 50 idosos cuidadores de idosos que residem com crianças e são cadastrados na atenção básica. As entrevistas ocorreram no domicílio do participante e foram avaliadas características do idoso dependente de cuidados e das crianças, características sociodemográfi cas, estresse por meio da Escala de Estresse Percebido e o otimismo por meio da Escala de Espiritualidade de Pinto e Pais-Ribeiro, no idoso cuidador. Para análise estatística foi utilizado o teste correlação de Spearman. Resultados: o nível médio de estresse foi de 23,9 pontos e de otimismo foi de 3,3 pontos. A análise de correlação mostrou que quanto maior o nível de otimismo signifi cativamente menor foi o nível de estresse percebido dos idosos cuidadores de idosos que residiam com crianças. Conclusão: foi identifi cada correlação inversamente proporcional entre estresse e otimismo. Descritores: Idoso; Criança; Cuidadores; Relações Familiares; Relação Entre Gerações. RESUMEN Objetivo: evaluar la relación entre estrés y optimismo en ancianos cuidadores informales de otros ancianos que residen con niños. Método: estudio transversal con 50 ancianos cuidadores de ancianos que residen con niños, registrados en atención básica. Entrevistas realizadas en domicilio del participante, evaluándose características del anciano dependiente de cuidados y de los niños, características sociodemográfi cas, estrés mediante Escala de Estrés Percibido y optimismo mediante Escala de Espiritualidad de Pinto y Pais-Ribeiro, en el anciano cuidador. Para análisis estadístico, se utilizó test de correlación de Spearman. Resultados: el nivel medio de estrés fue de 23,9 puntos, el de optimismo fue de 3,3 puntos. 698Stress and optimism of elderlies who are caregivers for elderlies and live with children Oliveira NA, e...

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Section: Discussioncontrasting

confidence: 69%

Stress and optimism of elderlies who are caregivers for elderlies and live with children

et al. 2017

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“…With this in mind, it is extremely important to understand the evolution of this psychological stress and identify possible triggers and/or attenuators of psychological stress following a stroke, in order to enable the planning of interventions for effective stress management. Despite the great impact that psychological stress can cause on the life of a stroke survivor today, few researchers have dedicated themselves to investigating psychological stress and identifying its predictors among stroke survivors (Ostwald, Bernal, Cron, & Godwin, ; Ostwald, Swank, & Khan, ; Santos, Rodrigues, Marques, & Pontes‐Neto, ). Two cross‐sectional studies reported that a higher level of stress among stroke survivors was related to depression and lower functional independence after discharge (Ostwald et al, ; Santos et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Despite the great impact that psychological stress can cause on the life of a stroke survivor today, few researchers have dedicated themselves to investigating psychological stress and identifying its predictors among stroke survivors (Ostwald, Bernal, Cron, & Godwin, ; Ostwald, Swank, & Khan, ; Santos, Rodrigues, Marques, & Pontes‐Neto, ). Two cross‐sectional studies reported that a higher level of stress among stroke survivors was related to depression and lower functional independence after discharge (Ostwald et al, ; Santos et al, ). Ostwald et al () carried out a longitudinal study among stroke survivors to better understand stress changes and predictors and found that psychological stress decreased during the first year after discharge.…”

Section: Introductionmentioning

confidence: 99%

Changes and predictors of psychological stress among elderly stroke survivors 6 months after hospital discharge

et al. 2017

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The aim of this study was to analyse the changes in psychological stress and identify its basal predictors among elderly stroke survivors after 6 months following discharge from hospital to home directly, rather than to a rehabilitation facility. The sample comprised 50 elderly stroke survivors. Data were collected at 2 weeks (T1), at 3 months (T2), and at 6 months (T3) after hospital discharge. The following instruments were applied: Perceived Stress Scale-10 items (PSS-10), National Institute of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale-15 items. Study records indicated that the age of the study participants ranged from 60 to 87 years old (mean = 70.3; standard deviation = 7.6). The number of male and female participants was similar. The PSS-10 score decreased almost 6 points between T1 (mean = 15.1) and T3 (mean = 9.7; p < .001). Both Functional Independence Measure (p = .025) and Geriatric Depression Scale-15 (p = .017) scores at T1 predicted the PSS-10 score at T3. The study thus demonstrated that elderly stroke survivors experienced significant stress after hospital discharge, which tended to improve over the next 6 months. Depression and lower functional independence 2 weeks after discharge were predictors of a greater level of psychological stress at 6 months following discharge.

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“…As the participant reported, the reason might be that the participant performed the training tasks during mid-night when he was tired and felt frustrated on the tasks. Previous clinical findings have shown that higher perceived stress measured by PSS was associated with less functional independence in people with stroke (Santos et al, 2015). In addition, high-stress level assessed by psychological questionnaires has been shown to correlate with high stress-induced cortisol responses which increase medial temporal activity (Henckens et al, 2016).…”

Section: Discussionmentioning

confidence: 91%

“…The psychometric properties of PSS have been confirmed (Lee, 2012). PSS has been used to assess perceived stress in people with stroke (Ostwald et al, 2008; Santos et al, 2015). The questions in PSS asked about participants' feelings and thoughts during the last month, and how often they felt a certain way.…”

Section: Introductionmentioning

confidence: 99%

Neural Plastic Effects of Working Memory Training Influenced by Self-perceived Stress in Stroke: A Case Illustration

et al. 2016

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This case study examined the effects of auditory working memory (WM) training on neuroplastic changes in stroke survivors and how such effects might be influenced by self-perceived stress. Two participants with a history of stroke participated in the study. One of them had a higher level of self-perceived stress. Both participants underwent a course of auditory WM training and completed baseline and post-training assessments such as self-perceived stress, performance satisfaction questionnaires, behavioral task performance, and functional magnetic resonance imaging. They were trained on a computerized auditory WM task (n-back) 5 days a week for 6 weeks, for a total of 20 h. Participant 1 had high levels of perceived stress, both pre- and post-training, and showed improvement on the satisfaction aspect of functional engagement only. Participant 2 had lower levels of perceived stress and demonstrated improvements on all performance tasks. Neuroimaging results showed evidence of improved neural efficiency on the trained task for participant 2. The results shed light on the need to evaluate psychological influences, e.g., stress, when studying the neuroplastic changes in people with stroke. However, the case design approach and other factors that might have positively influenced outcomes mean that these results must be interpreted with a great deal of caution. Future studies using a larger sample are recommended to verify the findings.

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Perceived stress in elderly stroke survivors after hospital discharge to home

Cited by 12 publications

References 22 publications

Stress and optimism of elderlies who are caregivers for elderlies and live with children

Stress and optimism of elderlies who are caregivers for elderlies and live with children

Changes and predictors of psychological stress among elderly stroke survivors 6 months after hospital discharge

Neural Plastic Effects of Working Memory Training Influenced by Self-perceived Stress in Stroke: A Case Illustration

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