Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study

Yumei Lv,1 Qiuxue Sun,1 Juan Li,2 Wenyue Zhang,3 Yudi He,1 Yuqiu Zhou1 1School of Nursing, Harbin Medical University (Daqing), Daqing, Heilongjiang Province, People’s Republic of China; 2Department of Pneumology, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shangdong Province, People’s...

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Autores principales: Lv Y, Sun Q, Li J, Zhang W, He Y, Zhou Y
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:a9994de2154e4a549c0a24cf621288192021-12-02T14:53:38ZDisability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study1178-2021https://doaj.org/article/a9994de2154e4a549c0a24cf621288192021-08-01T00:00:00Zhttps://www.dovepress.com/disability-status-and-its-influencing-factors-among-stroke-patients-in-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Yumei Lv,1 Qiuxue Sun,1 Juan Li,2 Wenyue Zhang,3 Yudi He,1 Yuqiu Zhou1 1School of Nursing, Harbin Medical University (Daqing), Daqing, Heilongjiang Province, People’s Republic of China; 2Department of Pneumology, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shangdong Province, People’s Republic of China; 3Department of Rehabilitation, People’s Hospital of Daqing, Daqing, Heilongjiang Province, People’s Republic of ChinaCorrespondence: Yuqiu ZhouSchool of Nursing, Harbin Medical University (Daqing), No. 39 Xinyang Road, Longfeng District, Daqing, 163319, Heilongjiang Province, People’s Republic of ChinaEmail hlxzyq@126.comPurpose: To explore the rate of post-stroke disability and its associated factors in the third year following discharge from inpatient rehabilitation in Northeast China.Design: A prospective cohort study.Methods: A total of 522 persons who were hospitalized with a diagnosis of stroke were recruited consecutively between April 2015 and December 2015 and followed for 3 years. The primary outcome was disability, which was assessed using the Modified Barthel Index (MBI), a cutoff score of ≤ 95 indicates disability. Plausible risk factors of disability were selected from available variables to perform multivariate logistic regression analysis.Findings: The proportion of post-stroke patients with disability decreased from 63.8% to 46.7% at 3-year follow-up. The factors associated with post-stroke disability were age, neurological deficits, cognitive function, depression, and social support.Conclusions/Clinical Relevance: Disability continues to be a significant issue for individuals after a stroke, and community health workers should perform targeted assessments and interventions to decrease disability, and pay special attention to individuals who are at greatest risk of post-stroke disability.Keywords: stroke, disability, influencing factorsLv YSun QLi JZhang WHe YZhou YDove Medical Pressarticlestrokedisabilityinfluencing factorsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2567-2573 (2021)
institution DOAJ
collection DOAJ
language EN
topic stroke
disability
influencing factors
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle stroke
disability
influencing factors
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Lv Y
Sun Q
Li J
Zhang W
He Y
Zhou Y
Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
description Yumei Lv,1 Qiuxue Sun,1 Juan Li,2 Wenyue Zhang,3 Yudi He,1 Yuqiu Zhou1 1School of Nursing, Harbin Medical University (Daqing), Daqing, Heilongjiang Province, People’s Republic of China; 2Department of Pneumology, Qingdao Hospital of Traditional Chinese Medicine, Qingdao, Shangdong Province, People’s Republic of China; 3Department of Rehabilitation, People’s Hospital of Daqing, Daqing, Heilongjiang Province, People’s Republic of ChinaCorrespondence: Yuqiu ZhouSchool of Nursing, Harbin Medical University (Daqing), No. 39 Xinyang Road, Longfeng District, Daqing, 163319, Heilongjiang Province, People’s Republic of ChinaEmail hlxzyq@126.comPurpose: To explore the rate of post-stroke disability and its associated factors in the third year following discharge from inpatient rehabilitation in Northeast China.Design: A prospective cohort study.Methods: A total of 522 persons who were hospitalized with a diagnosis of stroke were recruited consecutively between April 2015 and December 2015 and followed for 3 years. The primary outcome was disability, which was assessed using the Modified Barthel Index (MBI), a cutoff score of ≤ 95 indicates disability. Plausible risk factors of disability were selected from available variables to perform multivariate logistic regression analysis.Findings: The proportion of post-stroke patients with disability decreased from 63.8% to 46.7% at 3-year follow-up. The factors associated with post-stroke disability were age, neurological deficits, cognitive function, depression, and social support.Conclusions/Clinical Relevance: Disability continues to be a significant issue for individuals after a stroke, and community health workers should perform targeted assessments and interventions to decrease disability, and pay special attention to individuals who are at greatest risk of post-stroke disability.Keywords: stroke, disability, influencing factors
format article
author Lv Y
Sun Q
Li J
Zhang W
He Y
Zhou Y
author_facet Lv Y
Sun Q
Li J
Zhang W
He Y
Zhou Y
author_sort Lv Y
title Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
title_short Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
title_full Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
title_fullStr Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
title_full_unstemmed Disability Status and Its Influencing Factors Among Stroke Patients in Northeast China: A 3-Year Follow-Up Study
title_sort disability status and its influencing factors among stroke patients in northeast china: a 3-year follow-up study
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/a9994de2154e4a549c0a24cf62128819
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