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Titre : | Caregivers: Do They Make a Difference to Patient Recovery in Subacute Stroke? (2017) |
Auteurs : | Peck-Hoon Ong ; Bee-Choo Tai ; Wai-Pong Wong |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/10, 2017) |
Article en page(s) : | p. 20092020 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Aidants ; Rééducation et réadaptation |
Mots-clés: | Caregivers ; Stroke |
Résumé : |
Objective To evaluate the relationship between caregiver nature and availability, and rehabilitation outcomes in subacute stroke. Design Retrospective cohort study. Setting Four community rehabilitation hospitals. Participants Patients with subacute, first-time stroke (N=4042; 48.5% men; mean age + SD, 70.12+10.4y; 51.5% women; mean age + SD, 72.54 +10.0y). Interventions Not applicable. Main Outcome Measures Rehabilitation effectiveness, defined as the percentage of potential improvement eventually achieved with rehabilitation; and rehabilitation efficiency, defined as the rate of functional improvement during rehabilitation. Results In our cohort, 96.7% had available caregiver(s), of which 42.0% were primarily supported by foreign domestic workers (FDWs), 25.9% by spouses, 19.3% by first-degree relatives, 7.8% by other relatives, and 5.1% by other caregivers. Using quantile regression, we found that having a caregiver was independently associated with rehabilitation efficiency (β=−3.83; 95% confidence interval [CI], −6.99 to −0.66; P=.018). The relationship between caregiver availability and rehabilitation effectiveness was modified by patient sex in that the negative association was significantly greater in men (β=−22.81; 95% CI, −32.70 to −12.94; P<.001 than women ci to p=".223)." having a fdw as caregiver compared with spousal was negatively associated rehabilitation effectiveness and efficiency the number of potential caregivers only significantly at bivariate level> Conclusions Caregiver identity, and possibly availability, appears to negatively affect rehabilitation outcomes in subacute stroke. A better understanding of these relationships has potential implications on clinical practice and policy directions. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931730179X |