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A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research

Stroke-Specific Quality of Life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study.
Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATIONThe stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clin...
Source: Disability and Rehabilitation - April 30, 2020 Category: Rehabilitation Authors: Pedersen SG, Friborg O, Heiberg GA, Arntzen C, Stabel HH, Thrane G, Nielsen JF, Anke A Tags: Disabil Rehabil Source Type: research

Nurse-led stroke aftercare addressing long-term psychosocial outcome: a  comparison to care-as-usual.
CONCLUSIONS: Nurse-led stroke aftercare showed to be beneficial for emotional well-being in comparison to care-as-usual. Providing psychoeducation and emotional support seem effective elements but adding other therapeutic elements such as self-management strategies might increase the effectiveness of nurse-led stroke aftercare. Implications for rehabilitation Routine stroke follow-up care should pay attention to psychosocial and emotional outcome in a systematic manner, in addition to secondary prevention. Healthcare professionals such as (specialized) nurses are needed to appropriately address the hidden cognitive and emo...
Source: Disability and Rehabilitation - November 26, 2020 Category: Rehabilitation Authors: Verberne DPJ, Kroese MEAL, Staals J, Ponds RWHM, van Heugten CM Tags: Disabil Rehabil Source Type: research

One-year recurrence of stroke and death in Lebanese survivors of first-ever stroke: Time-to-Event analysis
ConclusionHigher rates of stroke recurrence and death were observed in the first year following a stroke in Lebanon. Various factors were identified as significant determinants. Thus, health care providers and officials in Lebanon can use these findings to implement effective preventive strategies to best address the management of these factors to reduce the stroke burden and improve the short and long-term prognosis of stroke survivors.
Source: Frontiers in Neurology - November 14, 2022 Category: Neurology Source Type: research

MyRisk_Stroke Calculator: A Personalized Stroke Risk Assessment Tool for the General Population.
CONCLUSIONS: The MyRisk_Stroke Calculator is a simple method of disseminating information to the general population about their stroke risk. PMID: 24465256 [PubMed]
Source: Journal of Clinical Neurology - December 2, 2014 Category: Neurology Tags: J Clin Neurol Source Type: research

Psychological distress, social support and medication adherence in patients with ischemic stroke in the mainland of China
This study was aimed to investigate the changes of psychological stress, social support and medication adherence in patients with ischemic stroke in the mainland of China. In this study, 90 patients with hemiplegia one year after first-ever middle cerebral artery infarction (stroke group) in the Zhongnan Hospital of Wuhan University from June 2008 to June 2011 were recruited for interview. Ninety age- and sex-matched normal volunteers (control group) were also examined at the same period. The psychological distress was assessed by the Symptom Checklist 90 (SCL-90), the social support by the Social Support Rating Scale (SSR...
Source: Journal of Huazhong University of Science and Technology -- Medical Sciences -- - June 1, 2015 Category: Research Source Type: research

Characteristics of traditional Chinese medicine usage in patients with stroke in Taiwan: A nationwide population-based study
Conclusion Adjunctive TCM use may reduce the risk of mortality rate among stroke patients. Bu-yang-huan-wu-tang and Dan-shen are the most common prescribed Chinese herbal formula and single herb for stroke patients, respectively. Future study investigating the anti-inflammatory and neuroprotective efficacy of Bu-yang-huan-wu-tang and Dan-shen in stroke is warranted. Graphical abstract
Source: Journal of Ethnopharmacology - April 22, 2016 Category: Drugs & Pharmacology Source Type: research

The Nottingham Fatigue after Stroke (NotFAST) study: factors associated with severity of fatigue in stroke patients without depression.
CONCLUSIONS: Pre-stroke fatigue, lower mood, and poorer mobility were associated with post-stroke fatigue. PMID: 28933604 [PubMed - in process]
Source: Clinical Rehabilitation - September 22, 2017 Category: Rehabilitation Authors: Drummond A, Hawkins L, Sprigg N, Ward NS, Mistri A, Tyrrell P, Mead GE, Worthington E, Lincoln NB Tags: Clin Rehabil Source Type: research

Yoga for stroke rehabilitation.
CONCLUSIONS: Yoga has the potential for being included as part of patient-centred stroke rehabilitation. However, this review has identified insufficient information to confirm or refute the effectiveness or safety of yoga as a stroke rehabilitation treatment. Further large-scale methodologically robust trials are required to establish the effectiveness of yoga as a stroke rehabilitation treatment. PMID: 29220541 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - December 8, 2017 Category: General Medicine Authors: Lawrence M, Celestino Junior FT, Matozinho HH, Govan L, Booth J, Beecher J Tags: Cochrane Database Syst Rev Source Type: research

HSPA12B promotes functional recovery after ischaemic stroke through an eNOS-dependent mechanism.
Abstract Stroke is the leading cause of disability worldwide. HSPA12B, a heat-shock protein recently identified expression specifically in endothelial cells, is able to promote angiogenesis. Here, we have investigated its effects on functional recovery at chronic phase of ischaemic stroke. Ischaemic stroke was induced by 60 min. of middle cerebral artery occlusion in transgenic mice with overexpression of HSPA12B (HSPA12B Tg) and wild-type littermates (WT). HSPA12B Tg mice demonstrated a significant higher survival rate than WT mice within 28 days post-stroke. Significant improved neurological functions, increased...
Source: J Cell Mol Med - February 7, 2018 Category: Molecular Biology Authors: Zhao Y, Liu C, Liu J, Kong Q, Mao Y, Cheng H, Li N, Zhang X, Li C, Li Y, Liu L, Ding Z Tags: J Cell Mol Med Source Type: research

Relationship between pre-stroke physical activity and symptoms of post-stroke anxiety and depression: An observational study.
CONCLUSION: In this group of patients with mild symptoms of emotional distress, it seems that pre-stroke physical activity might be protective against post-stroke depression, but not anxiety. Many patients with mild-to-moderate stroke report being equally active before and after the stroke. PMID: 31565752 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - October 1, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Red blood cell indices in relation to post-stroke psychiatric disorders: a longitudinal study in a follow-up stroke clinic.
CONCLUSION: The risks of PSD and PSA increased substantially 3 months beyond stroke onset. Of the RBC indices, higher MCV showed an independent positive association with PSD. PMID: 32324513 [PubMed - as supplied by publisher]
Source: Current Neurovascular Research - April 21, 2020 Category: Neurology Authors: Wang H, Gong L, Xia X, Dong Q, Jin A, Gu Y, Zhao Y, Liu X Tags: Curr Neurovasc Res Source Type: research

The course of depressive symptoms in the first 12 months post-stroke and its association with unmet needs
CONCLUSIONS: Depressive symptoms three months post-stroke were likely to persist or recur during the first 12 months post-stroke. Depressive symptoms are associated with unmet needs. These results suggest that routine monitoring of depressive symptoms and unmet needs should be considered post-stroke.Implications for rehabilitationPatients with depressive symptoms three months post-stroke have a high risk of developing persistent or recurrent depressive symptoms during the first 12 months post-stroke.Unmet needs are associated with both non-consistent and persistent depressive symptoms post-stroke.These results suggest that...
Source: Disability and Rehabilitation - February 7, 2022 Category: Rehabilitation Authors: Desi C M Stokman-Meiland Iris F Groeneveld Henk J Arwert St éphanie L van der Pas Jorit J L Meesters Radha D Rambaran Mishre Thea P M Vliet Vlieland Paulien H Goossens Source Type: research

Increased Risk of Stroke Linked to Stress at Home, Work
Experiencing multiple stressful events or chronic stress at home or at work over the course of a year raises the risk of several types of stroke, astudy published today inJAMA Network Open has found. However, the study also suggests that having a greater sense of control over the situations and experiences that affect one ’s life—a greater locus of control—may help counter the impact of stress on stroke risk.Catriona Reddin, M.B., of the University of Galway in Ireland and colleagues analyzed data from 26,812 participants in the INTERSTROKE study, an international case-control study of risk factors for stroke. Among ...
Source: Psychiatr News - December 9, 2022 Category: Psychiatry Tags: home stress INTERSTROKE study JAMA Network Open locus of control work stress Source Type: research