Korean J Rehabil Nurs.  2013 Dec;16(2):90-99.

The Impacts of Cognitive Function, Disease Severity, and Disability on Ability to Perform Activities of Daily Living after Stroke

Affiliations
  • 1Graduated School, College of Nursing, Chungnam National University, Daejeon, Korea.
  • 2Department of Nursing, Baekseok Culture University, Cheonan, Korea. minsuk7070@naver.com
  • 3College of Nursing, Chungnam National University, Daejeon, Korea.
  • 4Research Scientist, Research Institute of Nursing Science, Chungnam National University, Daejeon, Korea.

Abstract

PURPOSE
This study aimed to examine influence of cognitive function, disease severity and disability on ability to perform activity of daily living (ADL) after ischemic stroke.
METHODS
A total of 88 patients with ischemic stroke were recruited from January 1, 2008 to December 31, 2012 and assessed with the standardized cognitive test battery and self-reports about disease severity, disability, and ADL. To analyze the data, ANOVA, Pearson correlation coefficients and multiple regression were conducted using SPSS/WIN program.
RESULTS
Significant correlations were found between ADL and visuospatial function, visual memory, executive function, and disability (r=.29~.38). Executive function and disability explained 17.3% of total variability in ADL performance after ischemic stroke.
CONCLUSION
Executive function may be a promising target for cognitive rehabilitation after ischemic stroke. Thus, effective therapeutic interventions such as cognitive training for stroke patients should be considered to improve their ability to perform ADL.

Keyword

Stroke; Cognition; Severity of illness index; Activity of daily living
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