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Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge.
Mendes, Camila Lima Gervásio; de Menezes, Kênia Kiefer Parreiras; Rodrigues, Nathália Aparecida Gravito; Polese, Janaine Cunha; de Faria-Fortini, Iza; Faria, Christina Danielli Coelho de Morais.
Afiliación
  • Mendes CLG; Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • de Menezes KKP; Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Rodrigues NAG; Graduate Program in Occupation Studies, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Polese JC; Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • de Faria-Fortini I; Graduate Program in Occupation Studies, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Faria CDCM; Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: cdcmf@ufmg.br.
Braz J Phys Ther ; 28(4): 101087, 2024.
Article en En | MEDLINE | ID: mdl-38943742
ABSTRACT

BACKGROUND:

Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.

OBJECTIVE:

To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.

METHODS:

A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions ("In general, how would you say your health is?" and "Compared to a year ago, how would you rate your general health now?"). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.

RESULTS:

Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.

CONCLUSIONS:

At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Actividades Cotidianas / Estado de Salud / Accidente Cerebrovascular Límite: Female / Humans Idioma: En Revista: Braz J Phys Ther Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Actividades Cotidianas / Estado de Salud / Accidente Cerebrovascular Límite: Female / Humans Idioma: En Revista: Braz J Phys Ther Asunto de la revista: MEDICINA FISICA / REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil