TY - JOUR PY - 2022// TI - Increased anxiety and depression symptoms in post-acute care patients with stroke during the CoViD-19 pandemic JO - International journal of environmental research and public health A1 - Chou, Hsiang-Yun A1 - Lo, Yu-Chun A1 - Tsai, Ya-Wen A1 - Shih, Chia-Li A1 - Yeh, Chieh-Ting SP - e162 EP - e162 VL - 19 IS - 1 N2 - 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.
Language: en
LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph19010162 ID - ref1 ER -