Patient-Reported Variables Affecting Self-Perceived Overall Recovery Among People With Subacute Stroke-Reference-Cited by-同舟云学术

Patient-Reported Variables Affecting Self-Perceived Overall Recovery Among People With Subacute Stroke

Published:2024-08-09 Issue:5 Volume:78 Page:
ISSN:0272-9490
Container-title:The American Journal of Occupational Therapy
language:en
Short-container-title:

Author:

Lee Shih-Chieh¹,Huang Yi-Jing²,Wang Yi-Ching³,Chiang Hsin-Yu⁴,Wang Inga⁵,Hsieh Ching-Lin⁶

Affiliation:

1. Shih-Chieh Lee, PhD, is Assistant Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, and Adjunct Occupational Therapist, Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.

2. Yi-Jing Huang, PhD, is Assistant Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, and Adjunct Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.

3. Yi-Ching Wang, PhD, is Postdoctoral Researcher, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. At the time this article was submitted, Wang was PhD Student, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.

4. Hsin-Yu Chiang, ScD, is Professor, Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan; ariel.hychiang@gmail.com

5. Inga Wang, PhD, is Professor, School of Rehabilitation Sciences & Technology, University of Wisconsin–Milwaukee.

6. Ching-Lin Hsieh, PhD, is Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan; Adjunct Occupational Therapist, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan; and Adjunct Professor, Department of Occupational Therapy, College of Medical and Health Sciences, Asia University, Taichung, Taiwan; clhsieh@ntu.edu.tw

Abstract

Abstract Importance: Patients’ perception of overall recovery is a critical outcome for stroke rehabilitation. However, the perception of overall recovery cannot be obtained using multidimensional measures, because satisfaction in most domains of life does not guarantee satisfaction in overall recovery. A single overall recovery score seems a straightforward measure. However, the clinical implications of overall scores are restricted, because factors affecting patients’ overall recovery are unclear, which can be prioritized to optimize the effectiveness of rehabilitation. Objective: To examine patient-reported variables affecting overall recovery scores in patients with differing stroke severity. Design: The 59 items of the Stroke Impact Scale 3.0 were selected using regression analysis with a forward selection to explain the overall recovery score (0% = no recovery; 100% = full recovery). Stroke severity was determined with the National Institutes of Health Stroke Scale. Setting: Hospitals. Participants: Data of 950 patients collected 90 days after stroke. Results: The models explained about 55% of the variance of the overall recovery scores with five to nine variables, but merely 16% of the variance was explained for patients with moderate stroke. As stroke severity increased, the number of identified variables decreased. Most identified variables were related to social participation and self-care activities (e.g., ability to help others, control the bowels, and dress the torso). Differences in the remaining variables depended on stroke severity. Conclusions and Relevance: Patients’ priorities differ depending on stroke severity. The identified variables may be set as treatment goals to optimize patients’ self-perceived overall recovery. Plain-Language Summary: How patients perceive their overall recovery after a stroke is a critical outcome for their stroke rehabilitation. This study demonstrated that patients with different stroke severity may have different priorities that influence their self-perceived levels of overall recovery. The variables identified in this study may help occupational therapy practitioners identify meaningful goals to optimize patients’ self-perceived overall recovery.

Publisher

AOTA Press

Link

https://research.aota.org/ajot/article-pdf/doi/10.5014/ajot.2024.050623/88621/7805205020.pdf

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