Psychosocial parameters as determinants of return to work among stroke survivors

Pascal Chidera Uzoh ,
Pascal Chidera Uzoh

University of Nigeria, Faculty of Health Sciences and Technology, College of Medicine, Department of Medical Rehabilitation, Enugu, Nigeria,

Adebisi I. Hammed ,
Adebisi I. Hammed

University of Benin, Teaching Hospital, Department of Physiotherapy, Benin City, Nigeria,

Ezekiel Onyemechi ,
Ezekiel Onyemechi

University of Benin, Teaching Hospital, Department of Physiotherapy, Benin City, Nigeria,

Chigozie O. Obaseki ,
Chigozie O. Obaseki

University of Benin, Teaching Hospital, Department of Physiotherapy, Benin City, Nigeria,

Susan O. Kubeyinje
Susan O. Kubeyinje

University of Benin, Teaching Hospital, Department of Physiotherapy, Benin City, Nigeria,

Published: 01.12.2019.

Volume 12, Issue 2 (2020)

pp. 23-29;

https://doi.org/10.31382/eqol.201203

Abstract

This study investigated the psychosocial parameters as determinants of return to work among stroke survivors. This study involved 49 stroke survivors. Hospital Anxiety and Depression Scale (HADS) was used to determine the levels of anxiety and depression of the subjects. Equally, Health-Related Quality of Life (HRQOL) of the subjects was measured with the Stroke Specific Quality of Life (SS-QOL) scale. Also, a self-structured questionnaire was used to determine return to work of the subjects. The difference between stroke survivors that returned to work and those that did not return to work was established using Pearson’s chi-squared test. Also, Independent sample t-test was used to test for significance. Statistical significance was accepted for a p-value of <0.05. The outcome of this study showed a significant (p<0.05) difference in the depression of stroke survivors that returned to work and those that did not return to work. Also, significant (p<0.05) differences exist in the anxiety and quality of life of stroke survivors that returned to work and those that did not return to work. Likewise, age was found to have a significant influence on return-to-work status (p<0.05). Besides, gender, occupation and duration of physiotherapy had no significant (p > 0.05) influence on return-to-work status of stroke survivors. This study, therefore concluded that the level of depression, anxiety, and quality of life can substantially have an influence on return to work or otherwise among stroke survivors. Therefore, health professionals should develop and incorporate strategies to enhance the quality of life, prevent depression and anxiety in the management of stroke survivors.

References

1.
Baker S, Marshak H, Rice G, Zimmerman J. Patient participation in physical therapy and goal setting. Physical Therapy Journal. 2001. p. 1121–6.
2.
Bonner B, Pillai R, Sarma P, Lipska K, Pandian J, Sylaja P. Factors predictive of return to work after stroke in patients with mild-moderate disability in India. European Journal of Neurology. 2016. p. 548–53.
3.
Chetty R, Stepner M, Abraham S, Lin S, Scuderi B, Turner N, et al. The association between income and life expectancy in the United States. Jama. 2016. p. 1750–66.
4.
Corbière M, Renard M, St-Arnaud L, Coutu M, Negrini A, Sauvé G, et al. Union perceptions of factors related to the return to work of employees with depression. Journal of Occupational Rehabilitation. 2015. p. 335–47.
5.
Dagher R, Hofferth S, Lee Y. Maternal depression, pregnancy intention, and return to paid work after childbirth. Women’s Health Issues. 2014. p. 297–303.
6.
Ekechukwu N, Olaleye O, Hamzat T. Clinical and Psychosocial Predictors of Community Reintegration of Stroke Survivors Three Months Post In-Hospital Discharge. Ethiopian Journal of Health Sciences. 2017. p. 27–34.
7.
Elliott T, Shewchuck R. Social Support and Leisure Activities Following Severe Physical Disability: Testing the Mediating Effect of Depression. Basic applsoc psych. 2006. p. 471–87.
8.
Giroud M, Jacquin A, Bejot Y. The worldwide landscape of stroke in the 21st century. Lancet. 2014. p. 195–7.
9.
Grammenos S. Illness, Disability and Social Inclusion. Office for Official Publications of the European Communities; 2003. p. 125.
10.
Haghgoo H, Pazuki E, Hosseini A, Rassafiani M. Depression, activities of daily living, and quality of life in patients with stroke. Journal of the Neurological Sciences. 2013. p. 87–91.
11.
Hofffman J, Bombardier C, Graves D, Kalpakjian C, Krause J. A longitudinal study of depression from 1-5 years after spinal cord injury. Archives of physical medicine and rehabilitation. 2011. p. 411–8.
12.
Ibeneme S, Anyachukwu C, Akachukwu N, Chiaka I, Bakare M, Gerhard F. Symptoms of Poststroke Depression among Stroke Survivors: An Appraisal of Psychiatry Needs and Care during Physiotherapy Rehabilitation. Hindawi Publishing Corporation; 2016. p. 1–6.
13.
Jaracz K, Kozubski W. Quality of life in stroke patients. Acta Neurol Scand. 2003. p. 324–9.
14.
Jones M, Latreille P, Sloane P. Disability, gender, and the British labor market. Oxford Economic Papers. 2006. p. 407–49.
15.
Kernan W, Obiageli B, Black H, Bravata D, Chimowitz M, Ezekowitz M, et al. Guideline for Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack. A Guideline for Healthcare Professionals from the. American Heart Association/American Stroke Association. Stroke; 2014. p. 2160–236.
16.
Knapp P, Campbell Burton C, Holmes J, Murray J, Gillespie D, Lightbody C, et al. Interventions for treating anxiety after stroke. Cochrane Database of Systematic Reviews. 2017.
17.
Lang A, Kienitz C, Wetzel O, Rollnik J. Prolonged thromboprophylaxis with enoxaparin in early neurological rehabilitation. Clinical and Applied Thrombosis/Hemostasis. 2011. p. 470–5.
18.
Lee N, Tracy J, Bohannon R, Ahlquist M. Driving resumption and its predictors after stroke. Connecticut Medicine. 2003. p. 387–91.
19.
Mahmoodi M, Safari A, Vossoughi M, Golbon-Haghighi F, Kamali-Sarvestani M, Ghaem H. Stoke specific quality of life questionnaire: rest of reliability and validity of the Persian version. Iran Journal of Neurology. 2015. p. 94–100.
20.
Mayo N, Wood-Dauphinee S, Côté R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Archives of Physical Medicine Rehabilitation. 2002. p. 1035–42.
21.
Nijboer T, Van De Port I, Schepers V, Post M, Visser-Meily A. Predicting functional outcome after stroke: the influence of neglect on basic activities in daily living. Frontiers in Human Neuroscience. 2013.
22.
Ntsiea M, Van Aswegen H, Olorunju S. Factors which are predictive of return work after stroke. South African Journal of Physiotherapy. 2013. p. 42–7.
23.
Peters G, Buni S, Oyeyemi A, Hamzat T. Determinants of return to work among Nigerian stroke survivors. Disability and Rehabilitation. 2013. p. 455–9.
24.
Petrea R, Beiser A, Seshadri S, Kelly-Hayes M, Kase C, Wolf P. Gender differences in stroke incidence and post-stroke disability in the Framingham heart study. Stroke. 2009. p. 1032–7.
25.
Rasheed S, Woods R. An investigation into the association between nutritional status and quality of life in older people admitted to hospital. Journal of Human Nutrition and Dietetics. 2014. p. 142–51.
26.
Roger V, Go A, Donald M. Heart Disease and Stroke Statistics-Update: A Report from the American Heart Association. Circulation. 2012. p. 2–220.
27.
Rollnik J, Allmann J. Occupational rehabilitation of neurological patients-long-term outcome data. Rehabilitation. 2011. p. 37–43.
28.
Saeki K, You A, Isemura M, Abel I, Seki T, Noguchi H. Apoptosis-inducing activity of lipid derivatives of gallic acid. Biol Pharm Bull. 2000. p. 1391–4.
29.
Treger I, Shames J, Giaquinto S, Ring H. Return to work in stroke patients. Disability and Rehabilitation. 2007. p. 1397–403.
30.
Tse T, Binteyusoff S, Churilov L, Ma H, Davis S, Donnan G. Increased work and social engagement is associated with increased stroke-specific quality of life in stroke survivors at 3 months and 12 months post-stroke: a longitudinal study of an Australian stroke cohort. Stroke Rehabilitation. 2017. p. 1–10.
31.
Ugboh E, Hammed A. Association between self-esteem, depression, social support and quality of life among patients with cerebrovascular accident and spinal cord injury. Movement, Health & Exercise. 2017. p. 43–56.
32.
Vestling M, Tufvesson B, Iwarsson S. Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. Journal of Rehabilitation Medicine. 2003. p. 127–31.
33.
Walker R, Smalls B, Hernandez-Tejada M, Campbell J, Egede L. Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population. Ethnicity & Disease. 2014. p. 349–55.
34.
Wolf C, Omar S, Alistair M. Cost of Stroke in the United Kingdom National Institute for Health Care Research.Health and Social Care London School of Economics and Political science. 2009.
35.
Uzoh P, Hammed A, Onyemechi E, Obaseki C, Kubeyinje S. Stroke, Cerebrovascular accident: Global status report on noncommunicable diseases. Excercise and Quality of Life; 2017. p. 23–9.
36.
Mla: Uzoh P, Chidera. Psychosocial parameters as determinants of return to work among stroke survivors. Excercise and Quality of Life. 2020. p. 23–9.
37.
Uzoh P, Chidera, Adebisi I, Hammed E, Onyemechi C, Obaseki S, et al. Psychosocial parameters as determinants of return to work among stroke survivors. Excercise and Quality of Life. 2020. p. 23–9.

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