Cargando…
Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 pa...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751212/ https://www.ncbi.nlm.nih.gov/pubmed/35010420 http://dx.doi.org/10.3390/ijerph19010162 |
_version_ | 1784631637532737536 |
---|---|
author | Chou, Hsiang-Yun Lo, Yu-Chun Tsai, Ya-Wen Shih, Chia-Li Yeh, Chieh-Ting |
author_facet | Chou, Hsiang-Yun Lo, Yu-Chun Tsai, Ya-Wen Shih, Chia-Li Yeh, Chieh-Ting |
author_sort | Chou, Hsiang-Yun |
collection | PubMed |
description | This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily living, Berg Balance Scale, 5-metre walking speed and 6-min walking distance, were determined. Data on the length of acute care, length of post-acute care, destination after discharge and 14-days readmission were used to evaluate the quality of medical care. The Wilcoxon signed-rank test was used to compare functional performance before and after rehabilitation. The pandemic group showed no significant improvement in the scores of EuroQoL-5 Dimension, a self-reported health status assessment (p = 0.13), with the anxiety or depression dimension showing a negative effect (r = 0.21). Post-acute care programmes can efficiently improve the functional performance of patients with stroke during the COVID-19 pandemic in Taiwan. Mental health should therefore be simultaneously maintained while rehabilitating physical function. |
format | Online Article Text |
id | pubmed-8751212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87512122022-01-12 Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic Chou, Hsiang-Yun Lo, Yu-Chun Tsai, Ya-Wen Shih, Chia-Li Yeh, Chieh-Ting Int J Environ Res Public Health Article This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily living, Berg Balance Scale, 5-metre walking speed and 6-min walking distance, were determined. Data on the length of acute care, length of post-acute care, destination after discharge and 14-days readmission were used to evaluate the quality of medical care. The Wilcoxon signed-rank test was used to compare functional performance before and after rehabilitation. The pandemic group showed no significant improvement in the scores of EuroQoL-5 Dimension, a self-reported health status assessment (p = 0.13), with the anxiety or depression dimension showing a negative effect (r = 0.21). Post-acute care programmes can efficiently improve the functional performance of patients with stroke during the COVID-19 pandemic in Taiwan. Mental health should therefore be simultaneously maintained while rehabilitating physical function. MDPI 2021-12-24 /pmc/articles/PMC8751212/ /pubmed/35010420 http://dx.doi.org/10.3390/ijerph19010162 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chou, Hsiang-Yun Lo, Yu-Chun Tsai, Ya-Wen Shih, Chia-Li Yeh, Chieh-Ting Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title | Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title_full | Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title_fullStr | Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title_full_unstemmed | Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title_short | Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic |
title_sort | increased anxiety and depression symptoms in post-acute care patients with stroke during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8751212/ https://www.ncbi.nlm.nih.gov/pubmed/35010420 http://dx.doi.org/10.3390/ijerph19010162 |
work_keys_str_mv | AT chouhsiangyun increasedanxietyanddepressionsymptomsinpostacutecarepatientswithstrokeduringthecovid19pandemic AT loyuchun increasedanxietyanddepressionsymptomsinpostacutecarepatientswithstrokeduringthecovid19pandemic AT tsaiyawen increasedanxietyanddepressionsymptomsinpostacutecarepatientswithstrokeduringthecovid19pandemic AT shihchiali increasedanxietyanddepressionsymptomsinpostacutecarepatientswithstrokeduringthecovid19pandemic AT yehchiehting increasedanxietyanddepressionsymptomsinpostacutecarepatientswithstrokeduringthecovid19pandemic |