Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, March 10, 2017

Patient and family member factors influencing outcomes of poststroke inpatient rehabilitation

So it seems it is intention to recover that is the most important factor, doctors seem to have nothing to do with recovery.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75349&phrase=no&rec=132778&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(2) , Pgs. 249-255, 255.e1-255.e2.

NARIC Accession Number: J75349.  What's this?
ISSN: 0003-9993.
Author(s): Fang, Yunhua; Tao, Qian; Zhou, Xiaoxuan; Chen, Shanjia; Huang, Jia; Jiang, Yingping; Wu, Yi; Chen, Lidian; Tao, Jing; Chan, Chetwyn C..
Publication Year: 2017.
Number of Pages: 9.
Abstract: Study investigated how family members’ attitudes toward functional regain, and patients’ knowledge and intention of independence influence post-stroke rehabilitation among inpatients recruited from 3 major hospitals in China. A total of 163 participants completed the study, with 79 in the younger and 84 in the older group of post-stroke patients, along with their family members (spouses and children). The age of 60 years was used as the cutoff for the younger and older groups. Custom-designed questionnaires were used to tap into the patients’ knowledge about rehabilitation and intention of independence and family members’ attitudes toward patients in performing basic activities of daily living (ADLs) and instrumental ADLs. The rehabilitation outcomes included gains in motor, cognitive, and emotional functions, and self-care independence, measured with common clinical instruments. Results indicated that patients’ intention of independence positively affected motor recovery for younger and older patients, while family members’ positive attitudes promoted cognitive regain for both groups. Differential age-related effects were revealed for the patient’s intention of independence in predicting emotional outcome only for the younger group, and in predicting self-care independence only for the older group. The findings suggest the need for future studies on developing strategies for promoting positive attitudes toward independence among patients and family members during post-stroke rehabilitation.
Descriptor Terms: ATTITUDES, CLIENTS, COGNITION, FAMILY-CENTERED CARE, FUNCTIONAL STATUS, INTERNATIONAL REHABILITATION, MOTOR SKILLS, OUTCOMES, REHABILITATION SERVICES, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Fang, Yunhua, Tao, Qian, Zhou, Xiaoxuan, Chen, Shanjia, Huang, Jia, Jiang, Yingping, Wu, Yi, Chen, Lidian, Tao, Jing, Chan, Chetwyn C.. (2017). Patient and family member factors influencing outcomes of poststroke inpatient rehabilitation.  Archives of Physical Medicine and Rehabilitation , 98(2), Pgs. 249-255, 255.e1-255.e2. Retrieved 3/10/2017, from REHABDATA database.

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