Document Detail


Patient knowledge and expectations for functional recovery after stroke.
MedLine Citation:
PMID:  12872015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Understanding the causes and outcomes of stroke is important for stroke survivors and may affect their success in rehabilitation and their risk of recurrent stroke; therefore, this study was performed to assess the knowledge and expectation of functional recovery in stroke patients undergoing acute inpatient rehabilitation. DESIGN: Survey study of 50 consecutive stroke patients undergoing inpatient rehabilitation at a single urban rehabilitation hospital. RESULTS: Forty-six percent of participants were able to correctly identify whether they had sustained a cerebral infarct or hemorrhage. Rehabilitation length of stay was, on average, 1 wk longer than anticipated by patients. Patients overestimated their functional abilities on initial assessment and at discharge compared with staff assessments, with some improvement in accuracy for discharge predictions. Ninety-four percent of participants expected to be discharged home, and most achieved this goal. Although no participant anticipated discharge to a nursing home, 10% of patients were discharged to this location. CONCLUSIONS: Knowledge of stroke and its treatment was limited, and expectations for recovery tended to exceed actual accomplishments. There are significant areas of opportunity for enhanced educational efforts for stroke patients undergoing inpatient rehabilitation.
Authors:
Joel Stein; Saad Shafqat; Daniel Doherty; Elizabeth P Frates; Karen L Furie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  82     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-21     Completed Date:  2003-08-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  591-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Spauldin Rehabilitation Hospital, Boston, Massachusetts 02114, USA.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adult
Aged
Aged, 80 and over
Attitude to Health*
Confidence Intervals
Female
Humans
Male
Middle Aged
Prognosis
Severity of Illness Index
Stroke* / classification,  psychology,  rehabilitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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