Unfulfilled rehabilitation needs and dissatisfaction with care 12 months after a stroke: an explorative observational studyReportar como inadecuado

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BMC Neurology

, 12:40

First Online: 18 June 2012Received: 24 November 2011Accepted: 11 June 2012


BackgroundPeople who have suffered a stroke commonly report unfulfilled need for rehabilitation. Using a model of patient satisfaction, we examined characteristics in individuals that at 3 months after stroke predicted, or at 12 months were associated with unmet need for rehabilitation or dissatisfaction with health care services at 12 months after stroke.

MethodsThe participants n = 175 received care at the stroke units at the Karolinska University Hospital, Sweden. The dependent variables -unfulfilled needs for rehabilitation- and -dissatisfaction with care- were collected using a questionnaire. Stroke severity, domains of the Stroke Impact Scale SIS, the Sense of Coherence scale SOC and socio demographic factors were used as independent variables in four logistic regression analyses.

ResultsUnfulfilled needs for rehabilitation at 12 months were predicted by strength SIS odds ratio OR 7.05 at three months, and associated with hand function SIS OR 4.38 and poor self-rated recovery SIS OR 2.46 at 12 months. Dissatisfaction with care was predicted by SOC OR 4.18 and participation SIS OR 3.78, and associated with SOC OR 3.63 and strength SIS OR 3.08.

ConclusionsThirty-three percent of the participants reported unmet needs for rehabilitation and fourteen percent were dissatisfied with the care received. In order to attend to rehabilitation needs when they arise, rehabilitation services may need to be more flexible in terms of when rehabilitation is provided. Long term services with scheduled re-assessments and with more emphasis on understanding the experiences of both the patients and their social networks might better be able to provide services that attend to patients’ needs and aid peoples’ reorientation; this would apply particularly to those with poor coping capacity.

KeywordsStroke Needs Patient satisfaction Rehabilitation Health care services Long-term  Download fulltext PDF

Autor: Malin Tistad - Kerstin Tham - Lena von Koch - Charlotte Ytterberg

Fuente: https://link.springer.com/

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