Article

OBJECTIVE: To investigate how family members' attitudes toward functional regain,
and patients' knowledge and intention of independence influence poststroke
rehabilitation. DESIGN:
Cross-sectional study.
SETTING: Three rehabilitation
inpatient settings. PARTICIPANTS: Younger (n=79) and older (n=84) poststroke
patients, along with their family members (spouses, n=104; children, n=59).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Custom-designed
questionnaires were used to tap into the patients' knowledge about rehabilitation
(Patient's Rehabilitation Questionnaire-Knowledge About Rehabilitation) and
intention of independence (Patient's Rehabilitation Questionnaire-Intention of
Independence), and family members' attitudes toward patients in performing basic
activities of daily living (BADL) (Family Member Attitudes Questionnaire-BADL)
and instrumental activities of daily living (Family Member Attitudes
Questionnaire-instrumental activities of daily living). The rehabilitation
outcomes included gains in motor, cognitive, and emotional functions, and
self-care independence, measured with common clinical instruments. RESULTS: The
Family Member Attitudes Questionnaire-BADL predicted cognitive outcome and the
Patient's Rehabilitation Questionnaire-Intention of Independence predicted motor
outcome for both groups. Differential age-related effects were revealed for the
Patient's Rehabilitation Questionnaire-Intention of Independence in predicting
emotional outcome only for the younger group, and self-care independence only for
the older group. CONCLUSIONS: Patients' intention of independence positively
affected motor recovery, while family members' positive attitudes promoted
cognitive regain. The findings suggested plausible age-related differences in how
patients' intentions affect emotion versus self-care independence outcomes.
Future studies should explore strategies for promoting positive attitudes toward
independence among patients and family members during poststroke rehabilitation.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS