Factors related to met needs for rehabilitation 6 years after stroke
INTRODUCTION: Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. AIM: The aim was to explore the perceived needs for rehabilitation services of people six years after stroke a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961904/ https://www.ncbi.nlm.nih.gov/pubmed/31940423 http://dx.doi.org/10.1371/journal.pone.0227867 |
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author | Ytterberg, Charlotte Kristensen, Hanne Kaae Tistad, Malin von Koch, Lena |
author_facet | Ytterberg, Charlotte Kristensen, Hanne Kaae Tistad, Malin von Koch, Lena |
author_sort | Ytterberg, Charlotte |
collection | PubMed |
description | INTRODUCTION: Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. AIM: The aim was to explore the perceived needs for rehabilitation services of people six years after stroke and factors associated with having rehabilitation services needs met. METHODS: The study was a 6-year follow up of a prospective study on the rehabilitation process after stroke. Data on perceived needs for rehabilitation, personal factors, disease specific factors, and patient-reported disability were collected through face-to-face interviews in the participants’ homes. Logistic regression models were created to explore associations between having rehabilitation services needs met in 11 problem areas (dependent variable) and the independent variables: involvement in decisions regarding care and treatment, sex, age, sense of coherence, self-defined level of private financing, stroke severity, frequency of social everyday activities, perceived impact of stroke, and life satisfaction. RESULTS: The 121 participants had a mean age of 63 years at stroke onset and 58% were men. In all problem areas the majority (53–88%) reported having needs met at six years after stroke, however 47% reported unmet needs regarding fatigue and 45% regarding mobility. A lower perceived impact on participation was found to be associated with having rehabilitation services needs met in seven problem areas: mobility, falls, pain, fatigue, concentration, memory, and sight. The strongest association for having needs met was found for the independent variable, involvement in care and treatment, within the three problem areas mobility, falls, and speaking. CONCLUSION: In a long-term perspective, there were several modifiable factors associated with having rehabilitation services needs met. The most prominent were perceived involvement in care and treatment, and perceived participation. These factors had a stronger association with having rehabilitation services needs met than disease specific factors six years after stroke. |
format | Online Article Text |
id | pubmed-6961904 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-69619042020-01-26 Factors related to met needs for rehabilitation 6 years after stroke Ytterberg, Charlotte Kristensen, Hanne Kaae Tistad, Malin von Koch, Lena PLoS One Research Article INTRODUCTION: Research on stroke rehabilitation mainly concerns the first year of recovery, and there is a lack of knowledge regarding long-term rehabilitation needs and associated factors. AIM: The aim was to explore the perceived needs for rehabilitation services of people six years after stroke and factors associated with having rehabilitation services needs met. METHODS: The study was a 6-year follow up of a prospective study on the rehabilitation process after stroke. Data on perceived needs for rehabilitation, personal factors, disease specific factors, and patient-reported disability were collected through face-to-face interviews in the participants’ homes. Logistic regression models were created to explore associations between having rehabilitation services needs met in 11 problem areas (dependent variable) and the independent variables: involvement in decisions regarding care and treatment, sex, age, sense of coherence, self-defined level of private financing, stroke severity, frequency of social everyday activities, perceived impact of stroke, and life satisfaction. RESULTS: The 121 participants had a mean age of 63 years at stroke onset and 58% were men. In all problem areas the majority (53–88%) reported having needs met at six years after stroke, however 47% reported unmet needs regarding fatigue and 45% regarding mobility. A lower perceived impact on participation was found to be associated with having rehabilitation services needs met in seven problem areas: mobility, falls, pain, fatigue, concentration, memory, and sight. The strongest association for having needs met was found for the independent variable, involvement in care and treatment, within the three problem areas mobility, falls, and speaking. CONCLUSION: In a long-term perspective, there were several modifiable factors associated with having rehabilitation services needs met. The most prominent were perceived involvement in care and treatment, and perceived participation. These factors had a stronger association with having rehabilitation services needs met than disease specific factors six years after stroke. Public Library of Science 2020-01-15 /pmc/articles/PMC6961904/ /pubmed/31940423 http://dx.doi.org/10.1371/journal.pone.0227867 Text en © 2020 Ytterberg et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Ytterberg, Charlotte Kristensen, Hanne Kaae Tistad, Malin von Koch, Lena Factors related to met needs for rehabilitation 6 years after stroke |
title | Factors related to met needs for rehabilitation 6 years after stroke |
title_full | Factors related to met needs for rehabilitation 6 years after stroke |
title_fullStr | Factors related to met needs for rehabilitation 6 years after stroke |
title_full_unstemmed | Factors related to met needs for rehabilitation 6 years after stroke |
title_short | Factors related to met needs for rehabilitation 6 years after stroke |
title_sort | factors related to met needs for rehabilitation 6 years after stroke |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961904/ https://www.ncbi.nlm.nih.gov/pubmed/31940423 http://dx.doi.org/10.1371/journal.pone.0227867 |
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