Social support in the rehabilitation of patients with disabilities due to strokes
Main Article Content
Keywords
Social support, Stroke, Rehabilitation
Abstract
Summary
Objective: to describe a strategy of social support in the recovery of functional capacity on basic activities of daily living (ADL), quality of life and ways to face stress in patients after a stroke.
Methods: patients (56) with stroke, were integrated in support groups during the three months of rehabilitation. Outcomes were assessed through the Barthel Index, SF-36 questionnaire, and the Lazarus-Folkman.
Results: there was an improvement in functional capacity, with an increase in the emotional support (p = 0.0191) and affectivity (p = 0.0085). There was no change in caregiver. In quality of life 13.3 % of patients met the floor values in the dimension of physical function, 40 % in physical role and emotional role 36.7%. The most frequently used facing strategy in patients and caregivers were magical thinking that led a positive facing in the area of passive facing or directed to emotion; while in active facing or directed to the problem more flexibility in the addressed problem was used.
Conclusions: the social support strategies in the rehabilitation of patients with stroke reflected an improvement on functional recovery, and quality of life.
References
Dirección de Prestaciones Médicas. Principales causas de mortalidad nacional 2002. En: SISMOR México. IMSS.
Durán-Arenas L. La evaluación económica y de la tecnología en el campo de la salud. En: Muñoz O, Durán L, Garduño J, Soto H, editores Economía de la salud. Seminario Internacional. México: Instituto Mexicano del Seguro Social; 2003. p. 127-143.
Cartier C. From home to hospital and back again: economic restructuring, end of life, and the gendered problems of place-switching health services. Soc Sci Med 2003;56 (11):2289-2320.
Beatty PW, Hagglund KJ, Neri MT, Dhont KR, Clark MJ, Hilton SA. Access to health care services among people with chronic or disabling conditions: patterns and predictors. Arch Phys Med Rehabil 2003;84(10):1417-1425.
Hallet M. Plasticity of the human motor cortex and recovery from stroke. Brain Res Brain Rev 2001;36(2-3):169-174.
Pomeroy VM, Tallis RC. Need to focus research in stroke rehabilitation. Lancet 2000;355(9206):836-837.
Johansson BB. Brain plasticity and stroke rehabilitation. The Willis lecture. Stroke 2000;31(1):223-230. Disponible en http://stroke.ahajournals.org/content/31/1/223.long
Bach-y-Rita P. Late postacute neurologic rehabilitation: neuroscience, engineering, and clinical programs. Arch Phys Med Rehabil 2003;84(8):1100-1108.
Glass TA, Maddox GL. The quality and quantity of social support: stroke recovery as psycho-social transition. Soc Sci Med 1992;34(11):1249-1261.
Thompson SC, Sobolew-Shubin A, Graham MA, Janigian AS. Psychosocial adjustment following a stroke. Soc Sci Med 1989;28(3):239-247.
Glass TA, Matchar DB, Belyea M, Feussner JR. Impact of social support on outcome in first stroke. Stroke 1993; 24(1):64-70. Disponible en http://stroke.ahajournals.org/content/24/1/64.long
Franks P, Campbell TL, Shields CG. Social relationships and health: the relative roles of family functioning and social support. Soc Sci Med 1992;34(7):779-788.
World Health Organization. International consultation on reviewing community based rehabilitation (CBR). Theme Paper. Helsinki: WHO; 2003.
Patel A, Knapp M, Pérez I, Evans A, Kalra L. Alternative strategies for stroke care. Cost-effectiveness and cost-utility analyses from a prospective randomized controlled trial. Stroke 2004;35(1):196-203. Disponible en http://stroke. ahajournals.org/content/35/1/196.long
Ertel KA, Glymour MM, Glass TA, Berkman LF. Frailty modi-fies effectiveness of psychosocial intervention in recovery from stroke. Clin Rehabil 2007;21(6):511-522.
Hopman WA, Verner J. Quality of life during and after inpatient stroke rehabilitation. Stroke 2003;34(3):801-805. Disponible en http://stroke.ahajournals.org/content/34/3/801.long