Changes and predictors of psychological stress among elderly stroke survivors 6 months after hospital discharge
Abstract
The aim of this study was to analyse the changes in psychological stress and identify its basal predictors among elderly stroke survivors after 6 months following discharge from hospital to home directly, rather than to a rehabilitation facility. The sample comprised 50 elderly stroke survivors. Data were collected at 2 weeks (T1), at 3 months (T2), and at 6 months (T3) after hospital discharge. The following instruments were applied: Perceived Stress Scale—10 items (PSS‐10), National Institute of Health Stroke Scale, Functional Independence Measure, and Geriatric Depression Scale—15 items. Study records indicated that the age of the study participants ranged from 60 to 87 years old (mean = 70.3; standard deviation = 7.6). The number of male and female participants was similar. The PSS‐10 score decreased almost 6 points between T1 (mean = 15.1) and T3 (mean = 9.7; p < .001). Both Functional Independence Measure (p = .025) and Geriatric Depression Scale‐15 (p = .017) scores at T1 predicted the PSS‐10 score at T3. The study thus demonstrated that elderly stroke survivors experienced significant stress after hospital discharge, which tended to improve over the next 6 months. Depression and lower functional independence 2 weeks after discharge were predictors of a greater level of psychological stress at 6 months following discharge.
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Many older stroke survivors are left with complications such as cognitive, motor and sensory dysfunctions, loss of self-care ability, and inability to play family and social roles, resulting in negative emotions.
“After surviving through the acute treatment, many older stroke survivors would be left with obvious complications such as cognitive, motor and sensory dysfunctions. They are often subject to partial or total loss of self-care ability, and are unable to play family and social roles, resulting in series of negative emotions [4–6].”
From Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial. (2023) · cites this paper as [4]
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- Authors
- dos Santos, E. B., Rodrigues, R. A. P., Fhon, J. R. S., & Haas, V. J.
- Affiliations
- Department of Specialized and General Nursing, Ribeirão Preto School of Nursing University of Sao Paulo Ribeirao Preto SP Brazil
- Universidade de São Paulo (BR)
- Universidade Federal do Triângulo Mineiro (BR)
- Corresponding author
- Rodrigues, Rosalina Aparecida Partezani
- ORCID
- Venue
- Stress and Health
- Publisher
- Wiley
- Published
- 2017-12-21
- Volume
- 34
- Issue
- 3
- Pages
- 359-366
- ISSN
- 1532-2998 (ISSN-L)
- 1532-3005
- OpenAlex
- W2776807930
- Cited by
- 26
- References
- 51
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 2
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Stress and Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- psychological stress, stroke survivors, older adults, predictors of stress, depression, functional independence, home discharge, stroke rehabilitation
- MeSH terms
- Aged, Aged, 80 and over, Brain Ischemia, Depression, Female, Follow-Up Studies, Humans, Middle Aged, Patient Discharge, Stress, Psychological, Survivors, Stroke
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