학술논문

Cognitive and functional impairment, and perception of illness in acute stroke patients.
Document Type
Article
Source
Archives of Psychiatry & Psychotherapy. Dec2019, Vol. 21 Issue 4, p37-44. 8p.
Subject
*COGNITION disorders
*STROKE patients
*NIH Stroke Scale
*ACUTE diseases
*SENSORY perception
*SENSE of coherence
Language
ISSN
1509-2046
Abstract
Objectives: Stroke, the leading cause of death and disability in Indonesia, has a substantial impact on patients' life. However, only a few studies have assessed the psychological functioning in stroke patients. This study contributes to the need to map out psychological functioning in stroke patients by assessing their illness perception. Methods: This is a cross-sectional, descriptive-analytical study. We used a structured questionnaire which consists of a standardized collection of socio-demographic and clinical characteristics, brain CT-scan results, the severity of neurological deficit using NIH Stroke Scale (NIHSS), cognitive assessment tests, as well as Brief Illness Perception Questionnaire (BIPQ) as an instrument to assess illness perception. Results: There were 56 stroke patients recruited as participants. The average age was 55.34 + 10.25, with 30.4 % had formal education less than 9-year compulsory education. Cognitive impairment in 64.3% of subjects was associated with lower coherence (p<0.005). Subjects with higher education had higher personal control, treatment control and coherence (p < 0.05). Subjects with mild neurological impairment had lower treatment control and coherence (p < 0.05). Conclusions: Stroke patients with mild neurological impairment who had been discharged had a more positive perception on the timeline, personal and treatment control. Cognitive impairment is associated with lower coherence, which underlines the importance of establishing the cognitive baseline before assessing illness perception in stroke patients. [ABSTRACT FROM AUTHOR]