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Publication
Análise prospetiva sobre a correlação entre fatores psicossociais, clínicos, sociodemográficos e a funcionalidade, em vítimas de AVC, com e sem afasia, em contexto de reabilitação
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Abstract(s)
O acidente vascular cerebral (AVC) é uma das principais causas de incapacidade a nível mundial, frequentemente acompanhado por comorbilidades, como a afasia, que impactam significativamente a recuperação funcional dos doentes. Este estudo investigou a correlação entre algumas variáveis (sintomatologia depressiva, suporte social percebido, gravidade do AVC), e o estado funcional dos doentes no momento da admissão e na alta de um centro de reabilitação. Além disso, foram investigadas as correlações entre a sintomatologia depressiva e o grau de recuperação funcional, bem como entre o suporte social percebido e a sintomatologia depressiva. Foi criado um grupo específico de doentes com afasia, na tentativa de adquirir um melhor conhecimento sobre os desafios específicos deste subgrupo clínico, em relação às variáveis em estudo. A amostra foi composta por 27 doentes vítimas de AVC, dos quais quatro apresentaram uma perturbação afásica. A sintomatologia depressiva foi avaliada através do CES-D (doentes sem afasia) e do SADQ-H (para ambos os grupos). O suporte social percebido foi medido através do MSPSS (para doentes sem afasia) e de uma versão adaptada para os doentes com afasia. A gravidade do AVC foi avaliada pela NIHSS. Os resultados revelaram que os doentes com afasia apresentaram um pior estado funcional na admissão e uma tendência para AVC de maior gravidade. No entanto, conseguiram alcançar níveis de funcionalidade semelhantes aos dos doentes sem afasia após a reabilitação, apesar de um tempo de internamento mais longo. Nos doentes sem afasia, encontrou-se uma correlação entre a funcionalidade inicial e a sintomatologia depressiva, sugerindo que as limitações funcionais iniciais podem contribuir para o aumento dos sintomas depressivos na admissão. Ainda, neste grupo, o suporte social percebido exerceu um papel protetor contra a depressão dos doentes durante a reabilitação, mas não se associou diretamente à funcionalidade. Para os doentes com afasia, o apoio social percebido foi positivamente correlacionado com a funcionalidade na admissão.
Stroke is one of the leading causes of disability worldwide and is often accompanied by comorbidities such as aphasia, which significantly impact the functional recovery of patients. This study investigated the correlation between certain variables (depressive symptoms, perceived social support, stroke severity) and the functional status of patients at admission and discharge from a rehabilitation center. In addition, correlations between depressive symptoms and the degree of functional recovery were investigated, as well as between the perceived social support and depressive symptoms. A specific group of patients with aphasia was created to better understand the particular challenges of this clinical subgroup concerning the variables studied. The sample consisted of 27 stroke patients, four of whom presented with aphasic disorders. Depressive symptoms were assessed using the CES-D (for non-aphasic patients) and the SADQ-H (for both groups). Perceived social support was measured using the MSPSS (for non-aphasic patients) and an adapted version for aphasic patients. Stroke severity was evaluated using the NIHSS. The results showed that patients with aphasia presented poorer functional status at admission and a tendency for more severe strokes. However, they achieved levels of functionality similar to those of non-aphasic patients after rehabilitation, albeit with a longer hospitalization period. In non-aphasic patients, a correlation was found between initial functionality and depressive symptoms, suggesting that initial functional limitations may contribute to increased depressive symptoms at admission. In this group, perceived social support played a protective role against depression during rehabilitation but was not directly associated with functionality. For patients with aphasia, perceived social support was positively correlated with functionality at admission.
Stroke is one of the leading causes of disability worldwide and is often accompanied by comorbidities such as aphasia, which significantly impact the functional recovery of patients. This study investigated the correlation between certain variables (depressive symptoms, perceived social support, stroke severity) and the functional status of patients at admission and discharge from a rehabilitation center. In addition, correlations between depressive symptoms and the degree of functional recovery were investigated, as well as between the perceived social support and depressive symptoms. A specific group of patients with aphasia was created to better understand the particular challenges of this clinical subgroup concerning the variables studied. The sample consisted of 27 stroke patients, four of whom presented with aphasic disorders. Depressive symptoms were assessed using the CES-D (for non-aphasic patients) and the SADQ-H (for both groups). Perceived social support was measured using the MSPSS (for non-aphasic patients) and an adapted version for aphasic patients. Stroke severity was evaluated using the NIHSS. The results showed that patients with aphasia presented poorer functional status at admission and a tendency for more severe strokes. However, they achieved levels of functionality similar to those of non-aphasic patients after rehabilitation, albeit with a longer hospitalization period. In non-aphasic patients, a correlation was found between initial functionality and depressive symptoms, suggesting that initial functional limitations may contribute to increased depressive symptoms at admission. In this group, perceived social support played a protective role against depression during rehabilitation but was not directly associated with functionality. For patients with aphasia, perceived social support was positively correlated with functionality at admission.
Description
Keywords
Acidente vascular cerebral Afasia Funcionalidade Depressão pós-avc Suporte social percebido