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...

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Autores principales: Ytterberg, Charlotte, Kristensen, Hanne Kaae, Tistad, Malin, von Koch, Lena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
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.
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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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