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"Insist on recovery" as a Positive Prognostic Factor in Japanese Stroke Patients

https://hiroshima.repo.nii.ac.jp/records/2008709
https://hiroshima.repo.nii.ac.jp/records/2008709
1e3b1b1e-7715-42f3-a5af-de70fa0c3626
名前 / ファイル ライセンス アクション
PsychiatryClinNeurosci_62_386.pdf PsychiatryClinNeurosci_62_386.pdf (122.1 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル "Insist on recovery" as a Positive Prognostic Factor in Japanese Stroke Patients
言語 en
作成者 Hama, Seiji

× Hama, Seiji

en Hama, Seiji

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Yamashita, Hidehisa

× Yamashita, Hidehisa

en Yamashita, Hidehisa

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Kato, Toyohiko

× Kato, Toyohiko

en Kato, Toyohiko

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Shigenobu, Masaya

× Shigenobu, Masaya

en Shigenobu, Masaya

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Watanabe, Atsuko

× Watanabe, Atsuko

en Watanabe, Atsuko

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Sawa, Megumi

× Sawa, Megumi

en Sawa, Megumi

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Kurisu, Kaoru

× Kurisu, Kaoru

en Kurisu, Kaoru

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Yamawaki, Shigeto

× Yamawaki, Shigeto

en Yamawaki, Shigeto

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Kitaoka, Tamotsu

× Kitaoka, Tamotsu

en Kitaoka, Tamotsu

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
主題
主題Scheme Other
主題 acceptance of disability
主題
主題Scheme Other
主題 "insist on recovery"
主題
主題Scheme Other
主題 functional independence measurement
主題
主題Scheme Other
主題 stroke
主題
主題Scheme Other
主題 elderly
主題
主題Scheme NDC
主題 490
内容記述
内容記述 Aim: We designed two-step analyses to examine the effect of acceptance of disability or "insist on recovery" in Japanese stroke patients: firstly on their functional improvement and secondly on their psychological symptoms. Methods: We assessed disability using functional independence measurements (FIM), examined the stage of acceptance of disability by observation using Fink's theory (from shock to defensive retreat, acknowledgement, and acceptance/change stage), and quantitatively estimated "insist on recovery" (on a scale from 1 to 4) by observation. We then assessed the differences over time and the effects on the improvement in their FIM. We assessed depression using the Zung Self-rating Depression Scale (SDS); apathy using the Apathy Scale (AS), and assessed the correlation with the acceptance stage or "insist on recovery." Results: The acceptance stage and functional improvement progressed significantly, but "insist on recovery" did not change significantly during hospitalization. Multiple regression analysis revealed that the "insist on recovery" score (but not the acceptance stage) was a good predictor of the degree of improvement in FIM (FIM gain per week) in the elderly group. Post-hoc testing showed that the SDS or AS score decreased from the 1st stage to the 4th stage (but increase at the 3rd stage) of acceptance, the score decreasing from 1 to 3; however the score for "insist on recovery" increased from 3 to 4. Conclusions: The appropriate level of "insist on recovery" reduced depression and apathy, resulting in enhanced improvement of disability after a stroke in elderly stroke patients.
言語 en
出版者
出版者 Blackwell Publishing
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ AO
出版タイプResource http://purl.org/coar/version/c_b1a7d7d4d402bcce
関連情報
識別子タイプ DOI
関連識別子 10.1111/j.1440-1819.2008.01816.x
関連情報
識別子タイプ DOI
関連識別子 http://dx.doi.org/10.1111/j.1440-1819.2008.01816.x
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1323-1316
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA11040669
開始ページ
開始ページ 386
書誌情報 Psychiatry and Clinical Neurosciences
Psychiatry and Clinical Neurosciences

巻 62, 号 4, p. 386-395, 発行日 2008
旧ID 25962
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