Psychosocial Sequelae of Stroke in Working-Age Adults: A Pilot Study.
Lori M Rhudy, Jennifer Wells-Pittman, Kelly D Flemming
PMID 32511173WHAT IT FOUND
Working-age stroke survivors reported lower satisfaction with social roles despite high daily-activity function.
At six months, 44% had lower satisfaction with social roles, while 78% scored 95 or higher on a 100-point daily-activity scale.
Key findings
01At 6 months, 44% reported lower satisfaction with social roles, while 78% scored 95 or higher on a 100-point daily-activity scale.
0230 of 44 eligible patients approached consented, and 18 completed 6-month measures.
03Only Barthel Index and Neuro-QoL cognitive function improved significantly from baseline to 6 months; other patient-reported outcomes did not.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was a small pilot from one institution, so the findings may not apply to other stroke populations. Only patients who could complete questionnaires were included, so those with aphasia, confusion, or more severe stroke were not represented. Most participants had minor stroke and high baseline daily-activity function, so results may not apply to more severely affected patients. The study tested no intervention and followed patients only to 6 months, so it cannot show how symptoms change longer term or what treatment helps. Short hospital stays made recruitment difficult, and 2 patients died before follow-up.
Declared interests
No conflicts of interest are reported.
The easy way to misread this
Do not read high daily-activity scores as evidence that psychosocial recovery was complete. At six months, 44% reported lower satisfaction with social roles, and the study tested no intervention.