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Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic.
Chou, Hsiang-Yun; Lo, Yu-Chun; Tsai, Ya-Wen; Shih, Chia-Li; Yeh, Chieh-Ting.
  • Chou HY; Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan.
  • Lo YC; The Ph.D. Program for Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan.
  • Tsai YW; Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan.
  • Shih CL; Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan.
  • Yeh CT; Department of Nursing, An Nan Hospital, China Medical University, Tainan 709204, Taiwan.
Int J Environ Res Public Health ; 19(1)2021 12 24.
Article in English | MEDLINE | ID: covidwho-1580837
ABSTRACT
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case-control study-based on propensity score matching-we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton-Brody instrumental activities of daily living, Berg Balance Scale, 5-metre walking speed and 6-min walking distance, were determined. Data on the length of acute care, length of post-acute care, destination after discharge and 14-days readmission were used to evaluate the quality of medical care. The Wilcoxon signed-rank test was used to compare functional performance before and after rehabilitation. The pandemic group showed no significant improvement in the scores of EuroQoL-5 Dimension, a self-reported health status assessment (p = 0.13), with the anxiety or depression dimension showing a negative effect (r = 0.21). Post-acute care programmes can efficiently improve the functional performance of patients with stroke during the COVID-19 pandemic in Taiwan. Mental health should therefore be simultaneously maintained while rehabilitating physical function.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / Stroke Rehabilitation / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph19010162

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / Stroke Rehabilitation / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph19010162