Articles producció científica> Infermeria

Coping strategies, quality of life, and neurological outcome in patients treated with mechanical thrombectomy after an acute ischemic stroke

  • Datos identificativos

    Identificador: imarina:7979960
    Autores:
    Reverte-Villarroya, SilviaDavalos, AntoniFont-Mayolas, SilviaBerenguer-Poblet, MartaSauras-Colon, EstherLopez-Pablo, CarlosSanjuan-Menendez, EstelaMunoz-Narbona, LuciaSuner-Soler, Rosa
    Resumen:
    © 2020 by the authors. Licensee MDPI, Basel, Switzerland. New reperfusion therapies have improved the clinical recovery rates of acute ischemic stroke patients (AISP), but it is not known whether other factors, such as the ability to cope, might also have an effect. The aim of this study was to evaluate the effect of endovascular treatment (EVT) on coping strategies, quality of life, and neurological and functional outcomes in AISP at 3 months and 1 year post-stroke. A multicenter, prospective, longitudinal, and comparative study of a sub-study of the participants in the Endovascular Revascularization with Solitaire Device versus Best Medical Therapy in Anterior Circulation Stroke within 8 Hours (REVASCAT) clinical trial was conducted after recruiting from two stroke centers in Catalonia, Spain. The cohort consisted of 82 ischemic stroke patients (n = 42 undergoing EVT and n = 40 undergoing standard best medical treatment (BMT) as a control group), enrolled between 2013–2015. We assessed the coping strategies using the Brief Coping Questionnaire (Brief-COPE-28), the health-related quality of life (HRQoL) with the EQ-5D questionnaire, and the neurological and functional status using the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), modified Rankin Scale (mRS), and Stroke Impact Scale-16 (SIS-16). Bivariate analyses and multivariate linear regression models were used. EVT patients were the ones that showed better neurological and functional outcomes, and more patients presented reporting no pain/discomfort at 3 months; paradoxically, problem-focused coping strategies were found to be significantly higher in patients treated with BMT at 1 year.
  • Otros:

    Autor según el artículo: Reverte-Villarroya, Silvia; Davalos, Antoni; Font-Mayolas, Silvia; Berenguer-Poblet, Marta; Sauras-Colon, Esther; Lopez-Pablo, Carlos; Sanjuan-Menendez, Estela; Munoz-Narbona, Lucia; Suner-Soler, Rosa
    Departamento: Infermeria
    Autor/es de la URV: Berenguer Poblet, Marta / Lopez Pablo, Carlos / REVERTÉ REVERTÉ, SANDRA / Reverté Villarroya, Silvia / Sauras Colón, Esther
    Palabras clave: Treatment outcome Thrombectomy Survivors Stroke Spanish version Spain Sensitivity Scale Revascularization Revascat Randomized-trial Quality of life Prospective studies Patients Middle aged Medical therapy Male Ischemic stroke Humans Health-related quality of life10.3390/ijerph17176014 Health-related quality of life Health behavior Female Endovascular treatment Efficacy Device Coping Brain ischemia Aged Adaptation, psychological health-related quality of life health behavior endovascular treatment coping
    Resumen: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. New reperfusion therapies have improved the clinical recovery rates of acute ischemic stroke patients (AISP), but it is not known whether other factors, such as the ability to cope, might also have an effect. The aim of this study was to evaluate the effect of endovascular treatment (EVT) on coping strategies, quality of life, and neurological and functional outcomes in AISP at 3 months and 1 year post-stroke. A multicenter, prospective, longitudinal, and comparative study of a sub-study of the participants in the Endovascular Revascularization with Solitaire Device versus Best Medical Therapy in Anterior Circulation Stroke within 8 Hours (REVASCAT) clinical trial was conducted after recruiting from two stroke centers in Catalonia, Spain. The cohort consisted of 82 ischemic stroke patients (n = 42 undergoing EVT and n = 40 undergoing standard best medical treatment (BMT) as a control group), enrolled between 2013–2015. We assessed the coping strategies using the Brief Coping Questionnaire (Brief-COPE-28), the health-related quality of life (HRQoL) with the EQ-5D questionnaire, and the neurological and functional status using the National Institute of Health Stroke Scale (NIHSS), Barthel Index (BI), modified Rankin Scale (mRS), and Stroke Impact Scale-16 (SIS-16). Bivariate analyses and multivariate linear regression models were used. EVT patients were the ones that showed better neurological and functional outcomes, and more patients presented reporting no pain/discomfort at 3 months; paradoxically, problem-focused coping strategies were found to be significantly higher in patients treated with BMT at 1 year.
    Áreas temáticas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 16604601
    Direcció de correo del autor: carlos.lopez@urv.cat silvia.reverte@urv.cat esther.sauras@estudiants.urv.cat marta.berenguer@urv.cat
    Identificador del autor: 0000-0003-1248-3065 0000-0002-2052-9978 0000-0002-6631-3777
    Fecha de alta del registro: 2024-09-28
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.mdpi.com/1660-4601/17/17/6014
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: International Journal Of Environmental Research And Public Health. 17 (17): 1-12
    Referencia de l'ítem segons les normes APA: Reverte-Villarroya, Silvia; Davalos, Antoni; Font-Mayolas, Silvia; Berenguer-Poblet, Marta; Sauras-Colon, Esther; Lopez-Pablo, Carlos; Sanjuan-Menende (2020). Coping strategies, quality of life, and neurological outcome in patients treated with mechanical thrombectomy after an acute ischemic stroke. International Journal Of Environmental Research And Public Health, 17(17), 1-12. DOI: 10.3390/ijerph17176014
    DOI del artículo: 10.3390/ijerph17176014
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2020
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Treatment outcome
    Thrombectomy
    Survivors
    Stroke
    Spanish version
    Spain
    Sensitivity
    Scale
    Revascularization
    Revascat
    Randomized-trial
    Quality of life
    Prospective studies
    Patients
    Middle aged
    Medical therapy
    Male
    Ischemic stroke
    Humans
    Health-related quality of life10.3390/ijerph17176014
    Health-related quality of life
    Health behavior
    Female
    Endovascular treatment
    Efficacy
    Device
    Coping
    Brain ischemia
    Aged
    Adaptation, psychological
    health-related quality of life
    health behavior
    endovascular treatment
    coping
    Zootecnia / recursos pesqueiros
    Serviço social
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Pollution
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Interdisciplinar
    Health, toxicology and mutagenesis
    Geografía
    Geociências
    Farmacia
    Environmental studies
    Environmental sciences
    Ensino
    Engenharias ii
    Engenharias i
    Enfermagem
    Educação física
    Educação
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência da computação
    Biotecnología
    Biodiversidade
    Astronomia / física
    Administração pública e de empresas, ciências contábeis e turismo
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