TY - JOUR
T1 - Community re-integration and long-term need in the first five years after stroke
T2 - Results from a national survey
AU - Walsh, Mary Elizabeth
AU - Galvin, Rose
AU - Loughnane, Cliona
AU - Macey, Chris
AU - Horgan, N. Frances
N1 - Publisher Copyright:
© 2014 Informa UK Ltd.
PY - 2015/9/25
Y1 - 2015/9/25
N2 - Purpose: Acute stroke care continues to improve but the later stroke recovery phase remains less well understood. The aim of this study was to document self-reported need in relation to stroke recovery and community re-integration among community-dwelling persons up to five years post-stroke. Methods: A national survey was carried out in Ireland. Participants were recruited through stroke advocacy organisations and health professionals. Existing validated questionnaires were adapted with permission. The final questionnaire assessed respondents perceptions of their community re-integration and on-going needs. Results: A total of 196 stroke survivors, aged 24-89 years responded. Over 75% of respondents reported experiencing mobility, emotional, fatigue and concentration difficulties post-stroke. Emotional problems and fatigue demonstrated the highest levels of unmet need. Families provided much support with 52% of people needing help with personal care post-stroke. Forty-two per cent of respondents in a relationship felt that it was significantly affected by their stroke. In addition, 60% of respondents reported negative financial change. Only 23% of those <66 years had worked since their stroke, while 60% of drivers returned to driving. Conclusions: Stroke had a personal, social and economic impact. Emotional distress and fatigue were common and satisfaction with the help available for these problems was poor.Implications for RehabilitationProfessionals should recognise that family members provide high levels of support post-stroke while dealing with changes to personal relationships.Emotional, concentration and fatigue problems post-stroke require recognition by health professionals.A greater focus on return-to-work as part of stroke rehabilitation may be of value for patients of working age.
AB - Purpose: Acute stroke care continues to improve but the later stroke recovery phase remains less well understood. The aim of this study was to document self-reported need in relation to stroke recovery and community re-integration among community-dwelling persons up to five years post-stroke. Methods: A national survey was carried out in Ireland. Participants were recruited through stroke advocacy organisations and health professionals. Existing validated questionnaires were adapted with permission. The final questionnaire assessed respondents perceptions of their community re-integration and on-going needs. Results: A total of 196 stroke survivors, aged 24-89 years responded. Over 75% of respondents reported experiencing mobility, emotional, fatigue and concentration difficulties post-stroke. Emotional problems and fatigue demonstrated the highest levels of unmet need. Families provided much support with 52% of people needing help with personal care post-stroke. Forty-two per cent of respondents in a relationship felt that it was significantly affected by their stroke. In addition, 60% of respondents reported negative financial change. Only 23% of those <66 years had worked since their stroke, while 60% of drivers returned to driving. Conclusions: Stroke had a personal, social and economic impact. Emotional distress and fatigue were common and satisfaction with the help available for these problems was poor.Implications for RehabilitationProfessionals should recognise that family members provide high levels of support post-stroke while dealing with changes to personal relationships.Emotional, concentration and fatigue problems post-stroke require recognition by health professionals.A greater focus on return-to-work as part of stroke rehabilitation may be of value for patients of working age.
KW - Community
KW - needs
KW - neurological
KW - stroke
UR - http://www.scopus.com/inward/record.url?scp=84939793176&partnerID=8YFLogxK
U2 - 10.3109/09638288.2014.981302
DO - 10.3109/09638288.2014.981302
M3 - Review article
C2 - 25391817
AN - SCOPUS:84939793176
SN - 0963-8288
VL - 37
SP - 1834
EP - 1838
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 20
ER -