Impact of rehabilitation adherence and depressive symptoms on post-stroke self-care ability and quality of life: a longitudinal study

Jeng Wang, Wen Yu Kuo*, Min Chi Chen, Chen Yin Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Background: Good rehabilitation adherence leads to effective post-stroke recovery. However, some recovering patients experience post-stroke depressive symptoms, which can affect post-stroke health outcomes. Previous studies have not examined the effect of a combination of rehabilitation adherence and depressive symptoms on recovery after a stroke. Objectives: This study explored the combined predictive influence of rehabilitation adherence and post-stroke depressive symptoms on self-care abilities and quality of life in patients with stroke. Methods: This prospective longitudinal study analyzed data from 75 stroke patients. We examined rehabilitation adherence (self-reported, five-point scale), post-stroke depressive symptoms (Taiwanese Depression Scale), self-care ability (Chinese versions of the Barthel Index and Lawton–Brody Instrumental Activities of Daily Living Scale), and post-stroke quality of life (World Health Organization Quality of Life-BREF). Patients were followed up for six months after inclusion. The influence of rehabilitation adherence and post-stroke depressive symptoms on post-stroke self-care abilities and quality of life was examined using generalized estimating equations. Results: The sample’s mean age was 60.85 (±12.9) years. Patients with perfect rehabilitation adherence had better self-care abilities and quality of life than those with imperfect rehabilitation adherence. Patients without post-stroke depressive symptoms had a better quality of life than their counterparts. Patients with perfect rehabilitation adherence and no post-stroke depressive symptoms had better self-care abilities and quality of life than those with imperfect rehabilitation adherence and post-stroke depressive symptoms. Conclusion: Both depressive symptoms and rehabilitation adherence behavior impacted the rehabilitation effect among patients who are recovering from a stroke.

Original languageEnglish
Pages (from-to)361-371
Number of pages11
JournalTopics in Stroke Rehabilitation
Volume31
Issue number4
DOIs
StatePublished - 05 2024

Bibliographical note

Publisher Copyright:
© 2023 Taylor & Francis Group, LLC.

Keywords

  • adherence
  • depressive symptoms
  • nursing
  • rehabilitation
  • Stroke
  • Stroke/complications
  • Prospective Studies
  • Humans
  • Middle Aged
  • Stroke Rehabilitation
  • Activities of Daily Living
  • Quality of Life
  • Depression/etiology
  • Longitudinal Studies
  • Self Care

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