Motivational strategies used by health care professionals in stroke survivors in rehabilitation: a scoping review of experimental studies

Frontiers in Medicine, Journal Year: 2024, Volume and Issue: 11

Published: May 15, 2024

Introduction Cognitive and motor impairments are common among stroke survivors. Physical therapy is often used to improve the functional capacity of However, limited adherence rehabilitation programs a challenge. Motivation plays crucial role in success as it influences individual treatment overall health outcomes. This review aims identify current trends motivational strategies by healthcare professionals for survivor rehabilitation. Methods Following framework developed Arksey O’Malley, scoping was conducted. We performed literature search using MEDLINE, CINAHL, Cochrane Central Register Controlled Trials, Nursing & Allied Health, MedicLatina databases. Results A total 906 papers were identified. After selecting analyzing articles, 17 included this review. Health use various motivate These approaches include establishing therapeutic alliance, improving patients’ literacy, defining realistic goals, fostering problem-solving skills, personalizing program, showcasing stories, utilizing persuasive techniques, offering encouragement compliments, providing emotional support, effectively managing symptoms. Conclusion The knowledge gathered can guide helping patients overcome barriers rehabilitation, their motivation, ultimately enhance recovery

Language: Английский

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Advancing Post-Stroke Depression Research: Insights from Murine Models and Behavioral Analyses

Life, Journal Year: 2024, Volume and Issue: 14(9), P. 1110 - 1110

Published: Sept. 3, 2024

Post-stroke depression (PSD) represents a significant neuropsychiatric complication that affects between 39% and 52% of stroke survivors, leading to impaired recovery, decreased quality life, increased mortality. This comprehensive review synthesizes our current knowledge PSD, encompassing its epidemiology, risk factors, underlying neurochemical mechanisms, the existing tools for preclinical investigation, including animal models behavioral analyses. Despite high prevalence severe impact challenges persist in accurately modeling complex symptomatology settings, underscoring need robust valid better understand treat PSD. also highlights multidimensional nature where both biological psychosocial factors interplay influence onset course. Further, we examine efficacy limitations mimicking human PSD condition, along with tests used evaluate depressive-like behaviors rodents. sets new precedent by integrating latest findings across multidisciplinary studies, thereby offering unique perspective knowledge. Finally, development more sophisticated closely replicate clinical features is crucial order advance translational research facilitate discovery future effective therapies.

Language: Английский

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The Influence of Spiritual Care with Callista Roy's Adaptation Theory Approach on Serotonin Levels in Ischemic Stroke Patients

JKG (JURNAL KEPERAWATAN GLOBAL), Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 2, 2025

Background: Ischemic stroke causes physical disability, which can result in an inability to adapt, causing a 72% decrease serotonin. Decreased serotonin cause mood changes that adversely impact outcomes. The aim of this research is determine the effect spiritual care using Callista Roy's adaptation theory approach on levels Stroke Patients. Methods: type quasi-experimental with pretest-posttest control group design. population study was outpatients ischemic patients at Dr. Moewardi Hospital. sample size 60 respondents consisting 30 and intervention group. given by researcher 5 sessions each meeting duration minutes. once week 12 times for 3 months standard therapy outpatient nurse RSUD Surakarta. Serotonin examination ELISA kit. Data analysis independent t-test. Results: There influence Roy significance 0.001 (p value <0.05). Conclusion: Spiritual interventions theoretical have significant improving patients, reduce anxiety. It recommended be months.

Language: Английский

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Acupuncture combined with repetitive transcranial magnetic stimulation for the treatment of post-stroke depression: a systematic evaluation and meta-analysis based on a randomised controlled trial

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: May 16, 2024

Objective This study aimed to systematically assess the efficacy of combining acupuncture with repetitive transcranial magnetic stimulation (rTMS) in treating post-stroke depression (PSD). Methods We conducted a comprehensive search eight major domestic and international databases, including China Knowledge Network, from inception until December 2023. Included were randomized controlled trials that investigated combined rTMS for PSD. The screening process adhered predetermined inclusion exclusion criteria, quality was assessed using Cochrane Handbook 5.1 guidelines. Meta-analysis RevMan 5.4 software. Results Twelve studies involving 800 patients included analysis. meta-analysis showed significantly improved clinical effectiveness rate (RR = 1.19, 95% CI: 1.12 1.27, p &lt; 0.00001) reduced scores on several scales: Hamilton Depression Scale (HAMD) (MD −3.35, −3.79 −2.90, 0.00001), Self-Depression (SDS) −9.57, −12.26 −6.89, Chinese Medicine Symptom Score −3.34, −3.76 −2.91, Pittsburgh Sleep Quality −3.91, −4.58 −3.25, National Institutes Health Stroke (NIHSS) −2.77, −3.21 −2.32, 0.00001). Furthermore, treatment cognitive functioning (MMSE, MoCA scores) ( ability perform activities daily living 10.40, 9.53 11.28, Additionally, it found reduce interleukin 6, tumor necrosis factor alpha, 1β, increase 5-hydroxytryptamine brain-derived neurotrophic levels 0.001). Conclusion Acupuncture therapy is recommended PSD, as effectively improves outcomes, alleviates depressive symptoms, enhances function, capabilities, modulates inflammatory responses neurotransmitter levels. However, important note limitations sample size warrant need more high-quality research validate these conclusions. Systematic review registration INPLASY, Identifier INPLASY202430085.

Language: Английский

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Intersecting Pathways: The Role of Metabolic Dysregulation, Gastrointestinal Microbiome, and Inflammation in Acute Ischemic Stroke Pathogenesis and Outcomes

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(14), P. 4258 - 4258

Published: July 21, 2024

Acute ischemic stroke (AIS) remains a major cause of mortality and long-term disability worldwide, driven by complex multifaceted etiological factors. Metabolic dysregulation, gastrointestinal microbiome alterations, systemic inflammation are emerging as significant contributors to AIS pathogenesis. This review addresses the critical need understand how these factors interact influence risk outcomes. We aim elucidate roles dysregulated adipokines in obesity, impact gut microbiota disruptions, neuroinflammatory cascade initiated lipopolysaccharides (LPS) AIS. Dysregulated obesity exacerbate inflammatory responses, increasing severity. Disruptions subsequent LPS-induced neuroinflammation further link Advances neuroimaging biomarker development have improved diagnostic precision. Here, we highlight for approach management, integrating metabolic, microbiota, insights. Potential therapeutic strategies targeting pathways could significantly improve prevention treatment. Future research should focus on elucidating developing targeted interventions mitigate impacts metabolic imbalances,

Language: Английский

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Cognitive Disorders in Post-Stroke Patients

Majalah Kesehatan Indonesia, Journal Year: 2024, Volume and Issue: 5(1), P. 15 - 22

Published: April 24, 2024

Blood circulation disorders in post-stroke patients can cause cognitive disorders. Cognitive include memory impairment, difficulty speaking, understanding things, communicating, and mood The presence of stroke worsen the patient's condition, requiring longer treatment time. This study aimed to identify level patients. research is a descriptive dementia sampling technique was accidental for two weeks at Neurology Polytechnic Stroke Clinic one hospitals Bandung, totaling 83 people. questionnaire used this Mini-Mental State Examination (MMSE). collected data analyzed presented using frequency percentage distributions. results showed that majority (72.3%) did not experience or 15.66% experienced mild 12.04% severe impairment. From study, it be concluded some do but impairment condition increase length Based on research, health workers especially nurses, are expected able carry out early assessments provide particular interventions preventing worsening improving abilities. intervention form education, psychological support, social support counseling during rehabilitation.

Language: Английский

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The changes in health-related quality of life in stable coronary artery disease patients and intermediante coronary lesions after elective percutaneous coronary intervention

Cardiac Surgery and Interventional Cardiology, Journal Year: 2024, Volume and Issue: 13(1), P. 48 - 61

Published: April 26, 2024

The aim – to analyze the factors, associated with change in health-related quality of life (HRQoL) stable coronary artery disease (SCAD) patients intermediate lesions at 3-months follow-up after elective percutaneous intervention (PCI).Materials and methods. A prospective single-center study enrolled 84 SCAD (mean age 64±8 years; males 73 %) (stenosis 50-90 (by invasive angiography [ICA]), consecutively hospitalized PCI be performed. HRQoL was evaluated by SF-36 (physical health summary [PHsum] mental [МНsum]) SAQ (Seattle Angina Questionnaire»; domains «physical limitation» [PL], «angina stability» [AS], frequency» [AF], «treatment satisfaction» [TS] «disease perception» [DP]), baseline follow-up. sample subdivided a dichotomous manner into «improvement» or «non-improvement» patterns, based on cut-off-values (COVs) clinically meaningful certain parameter score PCI.Results discussion. We revealed an improvement average (median) parameters PCI, namely PHsum (score increase from 38.8 43.1; р < 0.001), SAQ-AS (25 75; SAQ-AF (70 80; SAQ-TS (58.8 70.6; 0.001) SAQ-DP (45.8 66.7; 0.001). ranged 14 % 71 cases, depending COVs its PCI. worse HRQoL, older higher total cholesterol level were increased probability meaningfully improved revascularization. In addition, presence diabetes mellitus, history acute cerebrovascular accident, ICA data multivessel in-stent restenosis previous all lower odds status achieved.Conclusions. favored clinical angiographic post-procedure should considered for better selection

Language: Английский

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Effectiveness of Problem-Solving Therapy in Improving Patient Mental Health, Function, Quality of Life, and Mortality Post-Stroke: A Systematic Review

Behavioral Sciences, Journal Year: 2024, Volume and Issue: 14(6), P. 446 - 446

Published: May 25, 2024

Problem-solving therapy (PST) is a potential psychological intervention aimed at preventing and treating issues in stroke patients, although its efficacy not clearly established. This systematic review assessed the effectiveness of PST improving mental health, functioning, quality life, mortality this population. Six databases were searched for literature indexed through March 2024, including Cochrane Library, PubMed, Scopus, CINAHL, NeuroBITE, OTseeker. (CRD42023483757) followed PRISMA guidelines Library Handbook, utilizing RoB 2 tool GRADE system to assess evidence. It included eight randomized controlled trials (RCTs) involving 1249 patients with stroke. Among them, five RCTs showed that might improve depression. Additionally, individual demonstrated addressing patient anxiety, apathy, coping. With respect affect life mortality. However, results four no effect on functioning. The evidence outcomes ranged from very low high. may

Language: Английский

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Memory-Guided Saccades in Subacute and Chronic Stroke: Secondary Data Analysis of the N-PEP-12 Clinical Study

Biomedicines, Journal Year: 2024, Volume and Issue: 12(8), P. 1678 - 1678

Published: July 26, 2024

Background: Ischemic stroke (IS) often leads to cognitive and motor impairments. This study aimed investigate whether Memory-Guided Saccade Tasks (MGSTs) could be used assess function in patients. Methods: A secondary data analysis was conducted on 62 individuals with supratentorial IS. Eye-tracking metrics from MGST were correlated established neuropsychological assessments, including the Montreal Cognitive Assessment (MoCA) Hospital Anxiety Depression Scale (HADS). Results: Age negatively memory-guided saccade (MGS) accuracy (ρ = −0.274) positively late errors 0.327). Higher scores associated faster corrective saccades 0.259). Increased anxiety (HADS-A) depression (HADS-D) levels higher early error rates 0.325 ρ 0.311, respectively). The Color Trails Test Digit Span test performance also various MGS parameters. Conclusions: While some correlations found between measures eye-tracking metrics, further research is needed validate as a tool for assessment more homogenous population.

Language: Английский

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Wrist Exoskeleton Actuated by a 2-RRU-U Parallel Manipulator

Machines, Journal Year: 2024, Volume and Issue: 12(12), P. 945 - 945

Published: Dec. 23, 2024

This article has as the main subject exoskeleton devices used in rehabilitation applications of wrist joint for patients who are recovery period after suffering a stroke. Exoskeleton have some advantages compared to classic therapies, such possibility performing exercises from comfort your own home. Therefore, this article, short state art with developed at present time was carried out. By developing structural analysis, it shown that parallel manipulator structures development 2 DoF, and they can contain RRU, RTU, or TRU connection legs. Next, kinematic analysis structure RRU legs is presented, which transmission function four-bar linkages extracted. The study continues optimization synthesis order achieve higher value minimum input angle lower total size area. Using optimized results, 3D prototype performance were developed. conclusion presented 2-RRU-U be suitable proposal exoskeleton-type device due area angle.

Language: Английский

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