Investigating cognitive impairment, biopsychosocial barriers, and predictors of return to daily life among older stroke survivors
2024 (English)In: Frontiers in Neurology, E-ISSN 1664-2295, Vol. 15, article id 1403567Article in journal (Refereed) Published
Abstract [en]
Purpose: The aim was to investigate the associations between cognitive impairment and biopsychosocial factors among older stroke survivors and predictors of poststroke return to daily life. Materials and methods: This cross-sectional study involved 117 stroke survivors (61% men) with an average age of 77 years (range 65–91). The participants completed two questionnaires (Riksstroke and Short Form 36 questionnaires). The Montreal Cognitive Assessment (MoCA) was used to assess cognitive abilities. The International Classification of Functioning, Disability, and Health (ICF) framework guided the selection of biopsychosocial variables. We used Spearman’s correlation coefficient and multiple logistic regression in the analyses. Results: The average MoCA score was 21.7 points (range: 4–30, SD 5.6). The need for assistance from relatives and professionals, need for help with dressing and household chores, reliance on others for mobility, and reading and balance problems were correlated with more severe cognitive impairment (r = 0.20–0.33). Cognitive impairment, fatigue, and balance issues predicted an unfavorable return to daily life (odds ratio: 6.2–6.8). Conclusion: The study indicated that cognitive impairment is associated with difficulties in all ICF domains. Cognitive impairment, fatigue, and balance issues are associated with an unsuccessful return to daily life. Prioritizing these factors and screening for cognitive impairment with objective assessment tools may improve rehabilitation outcomes and enhance overall quality of life poststroke.
Place, publisher, year, edition, pages
Frontiers Media S.A., 2024. Vol. 15, article id 1403567
Keywords [en]
cognition, daily life, international classification of functioning disability and health (ICF), montréal cognitive assessment (MoCA), stroke, aerobic exercise, aged, anterior cruciate ligament reconstruction, article, Berg Balance Scale, biopsychosocial model, body composition, body mass, caregiver, cerebrovascular accident, cognitive defect, correlation coefficient, critical limb ischemia, critically ill patient, cross-sectional study, dementia, depression, disease severity, Expanded Disability Status Scale, fatigue, female, fibromyalgia, Hamilton Depression Rating Scale, health care personnel, household, human, impedance, intellectual impairment, International Classification of Functioning, Disability and Health, language ability, major clinical study, male, mental function, mental health, mild cognitive impairment, Montreal cognitive assessment, occupational therapy, physical activity, prevalence, quality of life, questionnaire, regression analysis, risk factor, self care, Short Form 36, social interaction, social support, statistical analysis, statistically significant result, stroke rehabilitation, stroke survivor, survivor, very elderly
National Category
Neurology
Identifiers
URN: urn:nbn:se:mdh:diva-68073DOI: 10.3389/fneur.2024.1403567ISI: 001268250400001Scopus ID: 2-s2.0-85198027921OAI: oai:DiVA.org:mdh-68073DiVA, id: diva2:1884526
2024-07-172024-07-172024-07-24Bibliographically approved