生命周期和急性压力预测中风后的功能结果:长度STRONG研究的结果
E Alison Holman1,2, Steven C Cramer3,4,
1Sue & Bill Gross School of Nursing (E.A.H.), University of California, Irvine.
Stroke
|September 28, 2023
概括
终身压力会增加中风后的急性压力,导致运动和认知功能恶化和长期残疾. 管理中风后的急性压力对恢复至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中是一种突然的神经事件,压力会对恢复产生负面影响.
- 以前的生活压力可能会加剧患者对急性中风相关压力的反应.
- 了解压力的作用是改善中风康复结果的关键.
研究的目的:
- 调查终身压力作为急性中风后压力的预测因素.
- 确定生命和急性压力是否预测中风后3个月和12个月的功能状态.
- 为了比较急性压力的预测能力与基线国家卫生研究院中风量表 (NIHSS) 的功能结果.
主要方法:
- 该研究在2016年至2020年期间招募了763名成人中风患者.
- 收集的数据包括终身压力,急性压力 (急性压力障碍访谈) 和3个月和12个月的功能评估 (Fugl-Meyer,mRS,SIS-ADL,tMoCA).
- 结构方程模型分析了压力变量与功能结果之间的关系,控制了人口统计和基线NIHSS.
主要成果:
- 更高的终身压力显著预测了更高的急性压力 (β=0.18,P<0.001).
- 急性压力与较差的结果有关:运动和日常生活功能下降,残疾程度更高 (mRS),认知分数在3个月和12个月下降.
- 急性压力是12个月认知功能 (tMoCA) 的更强的预测因素,而不是基线NIHSS.
结论:
- 终身压力和由此产生的急性压力与中风后3-12个月增加的运动和认知障碍和残疾有关.
- 针对中风后急性压力的干预措施可能有助于减少长期残疾.
- 这凸显了在中风恢复过程中解决心理因素的重要性.
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