Self-rated health over the first five years after stroke

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Bjalkefur, K.Department of health and social care, Lidköping, Sweden (författare)

Self-rated health over the first five years after stroke

Artikel/kapitelEngelska2020

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2020-10-24
Springer Science and Business Media LLC,2020

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LIBRIS-ID:oai:gup.ub.gu.se/298272
https://gup.ub.gu.se/publication/298272URI
https://doi.org/10.1186/s12883-020-01956-1DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-16021URI

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Språk:engelska

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Funders: Skaraborg Institute for Research and Development [06–1045]; the Medical Fund at the Skaraborg Hospital, the Research Fund at the Skaraborg Hospital; the Skaraborg Research and Development Council; the Swedish stroke association
Background Self-rated health (SRH) focuses on the patient's own perception, and represents an important patient-reported outcome. The aim was to investigate SRH one to 5 years after stroke, follow the development over time and search for factors associated with SRH. Methods Consecutive stroke patients admitted to Stroke Units at the Skaraborg Hospital, Sweden were included 2007-2009 (n = 2190). Patient-reported outcomes were collected annually over 5 years using a postal questionnaire. SRH was assessed by the question about general health from SF-36. Factors associated with SRH were investigated by multiple logistic regression analysis. Results Response-rate was > 90% at all time points. Overall, 40.2, 41.9, 40.7, 45.0 and 46.3% of the patients reported good SRH, 1 to 5 years after stroke. Performance in activities of daily living (ADL) was strongly associated with good SRH; 49.8 and 14.7% after 1 year in independent and dependent survivors respectively, p < 0.001. In independent survivors 1 year after stroke, good SRH was positively associated with female sex (OR = 2.0; p = < 0,001), physical activity (OR = 2.14; p = < 0,001), car driving (OR = 2.25; p = < 0,001), and negatively associated with age (OR = 0.99; p = < 0,001), pain (OR = 0.49; p = < 0,001), depression (OR = 0.30; p = < 0,001), and self-perceived unmet care needs (OR = 0.39; p = < 0,001). In dependent survivors, depression (OR = 0.23; p = < 0,001) and age (OR = 0.96; p = < 0,05), were negatively associated with good SRH 1 year after stroke. Similar patterns were observed throughout the follow-up. Conclusion The proportion stroke survivors reporting their health as good is slightly increasing over time. After stroke, SRH is associated with pain, depression, ability to perform activities and self-perceived unmet care needs, indicating that efforts to support stroke survivors in the chronic phase after stroke should concentrate on targeting these factors.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Neurovetenskaper hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Neurosciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Longitudinal study
Patient reported outcome measures
Person centered
care
Questionnaire
Self-rated health
Sweden
survivors
mortality
quality
needs
Neurosciences & Neurology

Biuppslag (personer, institutioner, konferenser, titlar ...)

Nasic, S.Research and Development Centre, Skaraborg Hospital, Skövde, Sweden (författare)
Bertholds, E.Tibro Health care centre, Närhälsan Tibro, Sweden (författare)
Jood, Katarina,1966Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden; Department of Neurology, the Sahlgrenska University Hospital, Gothenburg, Sweden(Swepub:gu)xjooka (författare)
Rejnö, Åsa,1970-Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden(Swepub:hv)asarej (författare)
Department of health and social care, Lidköping, SwedenResearch and Development Centre, Skaraborg Hospital, Skövde, Sweden (creator_code:org_t)

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Ingår i:BMC Neurology: Springer Science and Business Media LLC20:11471-2377

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Av författaren/redakt...: Bjalkefur, K.; Nasic, S.; Bertholds, E.; Jood, Katarina, ...; Rejnö, Åsa, 1970 ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Medicinska och f ...; och Neurovetenskaper

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

Artiklar i publikationen: BMC Neurology

Av lärosätet: Göteborgs universitet; Högskolan Väst

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