Assessing care dependence status and associated influencing factors among middle-aged hemiplegic stroke patients during the post-acute rehabilitation phase: A correlational study.

التفاصيل البيبلوغرافية
العنوان:	Assessing care dependence status and associated influencing factors among middle-aged hemiplegic stroke patients during the post-acute rehabilitation phase: A correlational study.
المؤلفون:	Yuan L; Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China., Shen J; Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China., Ye S; Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China., Zhou N; Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
المصدر:	Journal of clinical nursing [J Clin Nurs] 2024 Jun; Vol. 33 (6), pp. 2249-2258. Date of Electronic Publication: 2024 Mar 21.
نوع المنشور:	Observational Study; Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9207302 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2702 (Electronic) Linking ISSN: 09621067 NLM ISO Abbreviation: J Clin Nurs Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1992-
مواضيع طبية MeSH:	Stroke Rehabilitation/methods , Stroke/psychology, Middle Aged ; Humans ; Child, Preschool ; Adult ; Aged ; Hemiplegia/etiology ; Hemiplegia/rehabilitation ; Cross-Sectional Studies ; Quality of Life
مستخلص:	Aims: To comprehensively examine the prevailing condition of care dependence among middle-aged individuals who have experienced hemiplegia subsequent to a stroke and were currently undergoing post-acute rehabilitation. Additionally, the study sought to analyse the determinants that impacted this phenomenon. Design: A single-centre, cross-sectional study design. Methods: During the period from January 2020 to October 2022, a cohort of 196 hemiplegic stroke patients, aged between 40 and 65, and within 6 months of their stroke onset, was selected from the cerebrovascular outpatient clinic at a tertiary hospital in Hangzhou. The demographic and disease-related data, care dependence level, mental state, nutrition and depression status were collected. Furthermore, all collected data were analysed by descriptive and correlative statistical methods. Results: The care dependence level was 51.04 ± 9.42, with an incidence of care dependence of 78.1%. Multivariate regression analysis showed that age, history of falls, physical dysfunction, chronic comorbidities, depression, nutritional status and cognitive dysfunction were influencing factors for care dependence in the participants after a stroke. Conclusion: The incidence of care dependence among hemiplegic patients aged from 40 to 65 years old in the early stage after a stroke was high. Nursing staff should focus on these patients with a history of falling, physical dysfunction, comorbidity, depression status, nutritional status and cognitive dysfunction in clinical practice. Relevance to Clinical Practice: The incidence of care dependence in middle-aged hemiplegic patients following a stroke is significantly increased. Some risk factors should be assessed, monitored, and controlled by nursing staff as early as possible in order to reduce the dependence levels in post-acute rehabilitation period and improve the quality of life of hemiplegia patients. Reporting Method: Our study complies with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Checklist: cross-sectional studies (see Table S1). Patient or Public Contribution: No patient or public contribution. (© 2024 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.)
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فهرسة مساهمة:	Keywords: care dependence; factor analysis; hemiplegia; middle‐aged; nursing; stroke
تواريخ الأحداث:	Date Created: 20240321 Date Completed: 20240423 Latest Revision: 20240423
رمز التحديث:	20240423
DOI:	10.1111/jocn.17124
PMID:	38509780
قاعدة البيانات:	MEDLINE

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تدمد:	1365-2702
DOI:	10.1111/jocn.17124