Needs assessment of individuals with stroke after discharge from hospital stratified by acute Functional Independence Measure score
Purpose. To determine the needs, barriers and facilitators of function in individuals with stroke after discharge from hospital. To examine the results stratified by the patient's acute score (80) on the functional independence measure (FIM). Method. This was a cohort study of 209 patients who...
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| Veröffentlicht in: | Disability and rehabilitation 2009-01, Vol.31 (26), p.2185-2195 |
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| container_title | Disability and rehabilitation |
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| creator | Moreland, Julie Dawn DePaul, Vincent G. DeHueck, Amy L. Pagliuso, Stefan A. Yip, Darrell W. C. Pollock, Barbara J. Wilkins, Seanne |
| description | Purpose. To determine the needs, barriers and facilitators of function in individuals with stroke after discharge from hospital. To examine the results stratified by the patient's acute score (80) on the functional independence measure (FIM).
Method. This was a cohort study of 209 patients who had been admitted to hospital because of stroke. Patients were interviewed following hospital discharge using a semi-structured interview and asked to complete and return a quantitative closed-ended survey.
Results. For most domains, frequencies of needs varied across the FIM groups. Combining all FIM groups, the interview showed needs related to: physical impairments (35%), time for recovery (33%), education (28%), medical advice (25%), therapies and services (21%), social needs (19%) and emotional needs (18%). From the interview, the most frequent barriers were physical impairments (55%) and emotional concerns (40%). Common facilitators were family support (54%), therapies and medical care (40%) and personal attitudes (22%). Additional needs from the survey concerned: IADL, mobility, ADL, recreation, finances, communication and employment. Additional barriers from the survey were: attitudes, social participation, environments and limited services.
Conclusions. There is a large and varied number of needs and barriers following discharge from hospital that have planning and advocacy implications for rehabilitation teams. |
| doi_str_mv | 10.3109/09638280902951846 |
| format | Article |
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Method. This was a cohort study of 209 patients who had been admitted to hospital because of stroke. Patients were interviewed following hospital discharge using a semi-structured interview and asked to complete and return a quantitative closed-ended survey.
Results. For most domains, frequencies of needs varied across the FIM groups. Combining all FIM groups, the interview showed needs related to: physical impairments (35%), time for recovery (33%), education (28%), medical advice (25%), therapies and services (21%), social needs (19%) and emotional needs (18%). From the interview, the most frequent barriers were physical impairments (55%) and emotional concerns (40%). Common facilitators were family support (54%), therapies and medical care (40%) and personal attitudes (22%). Additional needs from the survey concerned: IADL, mobility, ADL, recreation, finances, communication and employment. Additional barriers from the survey were: attitudes, social participation, environments and limited services.
Conclusions. There is a large and varied number of needs and barriers following discharge from hospital that have planning and advocacy implications for rehabilitation teams.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.3109/09638280902951846</identifier><identifier>PMID: 19903128</identifier><identifier>CODEN: DREHET</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Advocacy ; Aged ; Attitudes ; Cohort Studies ; Disability Evaluation ; Discharge ; Facilitators ; Female ; functional independence measure ; Health Status Indicators ; Hospitals ; Humans ; Male ; Middle Aged ; Needs Assessment ; Outcome Assessment (Health Care) ; Patient Discharge ; Severity of Illness Index ; Social Support ; Stroke ; Stroke Rehabilitation ; Strokes</subject><ispartof>Disability and rehabilitation, 2009-01, Vol.31 (26), p.2185-2195</ispartof><rights>2009 Informa UK Ltd 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-359a41e76af45728818f0f503fa67ff9c580d0db2f420a56194cca300c4784803</citedby><cites>FETCH-LOGICAL-c437t-359a41e76af45728818f0f503fa67ff9c580d0db2f420a56194cca300c4784803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/09638280902951846$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/09638280902951846$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,30977,59620,59726,60409,60515,61194,61229,61375,61410</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19903128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreland, Julie Dawn</creatorcontrib><creatorcontrib>DePaul, Vincent G.</creatorcontrib><creatorcontrib>DeHueck, Amy L.</creatorcontrib><creatorcontrib>Pagliuso, Stefan A.</creatorcontrib><creatorcontrib>Yip, Darrell W. C.</creatorcontrib><creatorcontrib>Pollock, Barbara J.</creatorcontrib><creatorcontrib>Wilkins, Seanne</creatorcontrib><title>Needs assessment of individuals with stroke after discharge from hospital stratified by acute Functional Independence Measure score</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Purpose. To determine the needs, barriers and facilitators of function in individuals with stroke after discharge from hospital. To examine the results stratified by the patient's acute score (<41, 41-80, >80) on the functional independence measure (FIM).
Method. This was a cohort study of 209 patients who had been admitted to hospital because of stroke. Patients were interviewed following hospital discharge using a semi-structured interview and asked to complete and return a quantitative closed-ended survey.
Results. For most domains, frequencies of needs varied across the FIM groups. Combining all FIM groups, the interview showed needs related to: physical impairments (35%), time for recovery (33%), education (28%), medical advice (25%), therapies and services (21%), social needs (19%) and emotional needs (18%). From the interview, the most frequent barriers were physical impairments (55%) and emotional concerns (40%). Common facilitators were family support (54%), therapies and medical care (40%) and personal attitudes (22%). Additional needs from the survey concerned: IADL, mobility, ADL, recreation, finances, communication and employment. Additional barriers from the survey were: attitudes, social participation, environments and limited services.
Conclusions. There is a large and varied number of needs and barriers following discharge from hospital that have planning and advocacy implications for rehabilitation teams.</description><subject>Advocacy</subject><subject>Aged</subject><subject>Attitudes</subject><subject>Cohort Studies</subject><subject>Disability Evaluation</subject><subject>Discharge</subject><subject>Facilitators</subject><subject>Female</subject><subject>functional independence measure</subject><subject>Health Status Indicators</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Discharge</subject><subject>Severity of Illness Index</subject><subject>Social Support</subject><subject>Stroke</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9v1DAQxS0EokvhA3BBvnEK2LHzx4ILqihUKnCBczRrj4lLEi8ep9We-eJ4tSshhIDLzGF-782MHmNPpXihpDAvhWlVX_fCiNo0stftPbaRutVVI9vmPtsc5lUB-jP2iOhGCCFVpx-yM2mMULLuN-zHR0RHHIiQaMYl8-h5WFy4DW6FifhdyCOnnOI35OAzJu4C2RHSV-Q-xZmPkXYhw3SAIAcf0PHtnoNdM_LLdbE5xKWMrxaHOyxlscg_INCakJONCR-zB76swienfs6-XL79fPG-uv707urizXVltepypRoDWmLXgtdNV76SvRe-EcpD23lvbNMLJ9y29roW0LTSaGtBCWF11-teqHP2_Oi7S_H7ipSHubyC0wQLxpWGTtddXXfK_J9UWqqm4IWUR9KmSJTQD7sUZkj7QYrhENLwR0hF8-zkvm5ndL8Up1QK8PoIhMXHNMNdTJMbMuynmHyCxQY6eP_d_9Vv8hFhyqOFhMNNXFMJg_5x3U_Cg7On</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Moreland, Julie Dawn</creator><creator>DePaul, Vincent G.</creator><creator>DeHueck, Amy L.</creator><creator>Pagliuso, Stefan A.</creator><creator>Yip, Darrell W. C.</creator><creator>Pollock, Barbara J.</creator><creator>Wilkins, Seanne</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope><scope>7QJ</scope></search><sort><creationdate>20090101</creationdate><title>Needs assessment of individuals with stroke after discharge from hospital stratified by acute Functional Independence Measure score</title><author>Moreland, Julie Dawn ; DePaul, Vincent G. ; DeHueck, Amy L. ; Pagliuso, Stefan A. ; Yip, Darrell W. C. ; Pollock, Barbara J. ; Wilkins, Seanne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-359a41e76af45728818f0f503fa67ff9c580d0db2f420a56194cca300c4784803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Advocacy</topic><topic>Aged</topic><topic>Attitudes</topic><topic>Cohort Studies</topic><topic>Disability Evaluation</topic><topic>Discharge</topic><topic>Facilitators</topic><topic>Female</topic><topic>functional independence measure</topic><topic>Health Status Indicators</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Discharge</topic><topic>Severity of Illness Index</topic><topic>Social Support</topic><topic>Stroke</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreland, Julie Dawn</creatorcontrib><creatorcontrib>DePaul, Vincent G.</creatorcontrib><creatorcontrib>DeHueck, Amy L.</creatorcontrib><creatorcontrib>Pagliuso, Stefan A.</creatorcontrib><creatorcontrib>Yip, Darrell W. C.</creatorcontrib><creatorcontrib>Pollock, Barbara J.</creatorcontrib><creatorcontrib>Wilkins, Seanne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreland, Julie Dawn</au><au>DePaul, Vincent G.</au><au>DeHueck, Amy L.</au><au>Pagliuso, Stefan A.</au><au>Yip, Darrell W. C.</au><au>Pollock, Barbara J.</au><au>Wilkins, Seanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Needs assessment of individuals with stroke after discharge from hospital stratified by acute Functional Independence Measure score</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>31</volume><issue>26</issue><spage>2185</spage><epage>2195</epage><pages>2185-2195</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><coden>DREHET</coden><abstract>Purpose. To determine the needs, barriers and facilitators of function in individuals with stroke after discharge from hospital. To examine the results stratified by the patient's acute score (<41, 41-80, >80) on the functional independence measure (FIM).
Method. This was a cohort study of 209 patients who had been admitted to hospital because of stroke. Patients were interviewed following hospital discharge using a semi-structured interview and asked to complete and return a quantitative closed-ended survey.
Results. For most domains, frequencies of needs varied across the FIM groups. Combining all FIM groups, the interview showed needs related to: physical impairments (35%), time for recovery (33%), education (28%), medical advice (25%), therapies and services (21%), social needs (19%) and emotional needs (18%). From the interview, the most frequent barriers were physical impairments (55%) and emotional concerns (40%). Common facilitators were family support (54%), therapies and medical care (40%) and personal attitudes (22%). Additional needs from the survey concerned: IADL, mobility, ADL, recreation, finances, communication and employment. Additional barriers from the survey were: attitudes, social participation, environments and limited services.
Conclusions. There is a large and varied number of needs and barriers following discharge from hospital that have planning and advocacy implications for rehabilitation teams.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>19903128</pmid><doi>10.3109/09638280902951846</doi><tpages>11</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis; MEDLINE; Taylor & Francis Medical Library - CRKN |
| subjects | Advocacy Aged Attitudes Cohort Studies Disability Evaluation Discharge Facilitators Female functional independence measure Health Status Indicators Hospitals Humans Male Middle Aged Needs Assessment Outcome Assessment (Health Care) Patient Discharge Severity of Illness Index Social Support Stroke Stroke Rehabilitation Strokes |
| title | Needs assessment of individuals with stroke after discharge from hospital stratified by acute Functional Independence Measure score |
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