Holistic Approach In Stroke Patients: A Clinical Trial

Main Article Content

Abdulvahap Kaya
Ali Timucin Atayoglu

Abstract

Objective: This study aimed to explore the holistic relationship between personality types, coping attitudes, physical functioning, and cognitive levels in individuals diagnosed with stroke.


Material and Methods: The research employed a single-group design and included 25 stroke patients. The participants, comprising 7 females and 12 males with a mean age of 54.211±8.979 years, underwent a comprehensive assessment. Physical function was assessed using the Berg Balance Scale and Timed Up and Go Tests, and cognitive levels were measured with the Montreal Cognitive Assessment Scale, coping strategies were evaluated through the COPE-R Coping Attitudes Evaluation Scale, and personality types were determined using the Enneagram Scale.


Results: Berg and TUG scores of the participants show a significant difference according to chronic disease status (p=0.024, and p=0.048, respectively). However, MOCA and coping scores of the participants do not differ significantly according to the chronic disease status (p>0.05). The  participants' MOCA, Berg, TUG, and COPE-R scores do not differ significantly according to enneagram (p>0.05).


Conclusion: This study underscores the interplay between cognitive and physical functioning in stroke survivors, highlighting the potential impact of cognitive levels on physical capabilities. Surprisingly, coping attitudes and personality types did not significantly influence cognitive or physical function.

Downloads

Download data is not yet available.

Article Details

How to Cite
Kaya, A. ., & Atayoglu, A. T. (2023). Holistic Approach In Stroke Patients: A Clinical Trial. Medical Science and Discovery, 10(10), 873–878. https://doi.org/10.36472/msd.v10i10.1064 (Original work published October 25, 2023)
Section
Research Article
Received 2023-10-09
Accepted 2023-10-25
Published 2023-10-30

References

Lundvall S, Fröberg A. From individual to lifelong environmental processes: reframing health in physical education with the sustainable development goals. Sport Educ Soc. 2022;

Shaiful M, Shalihin E. Incorporation Of Holistic And Spiritual Approach In Geriatric Care-Sharing Experience At Rumah Ehsan. 2022;5(1).

lo Buono V, Corallo F, Bramanti P, Marino S. Coping strategies and health-related quality of life after stroke. J Health Psychol. 2017;22(1):16–28.

Hekmatpou D, Baghban EM, Dehkordi LM. The effect of patient care education on burden of care and the quality of life of caregivers of stroke patients. J Multidiscip Healthc [Internet]. 2019 [cited 2021 Nov 6];12:211. Available from: /pmc/articles/PMC6430991/

Okutan E. Kişilik Özelliklerinin Tükenmişliğe Etkisi: Bir Örnek Olay İncelemesi. Sakarya Üniversitesi Çalışma Ekonomisi ve Endüstri İlişkileri Seçme Yazılar-III. 2019;119–49.

Dicle AN, Ersanli K. Başa Çıkma Tutumlarını Değerlendirme Ölçeğinin Türkçeye Uyarlama Geçerlik Ve Güvenirlik Çalışması. Akademik Sosyal Araştırmalar Dergisi. 2015;111–26.

Yıldırım G. Üst Ekstremite Periferik Sinir Yaralanmasına Sahip Bireylerin Başa Çıkma Stratejilerinin İncelenmesi. 2020.

Karadakovan A. Diyabet ve Bilişsel İşlevler. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2015;31(3):99–107.

Nanninga CS, Meijering L, Schönherr MC, Postema K, Lettinga AT. Place attachment in stroke rehabilitation: A transdisciplinary encounter between cultural geography, environmental psychology and rehabilitation medicine. Disabil Rehabil. 2015;37(13):1125–34.

Timmermans C, Roerdink M, van Ooijen MW, Meskers CG, Janssen TW, Beek PJ. Walking adaptability therapy after stroke: Study protocol for a randomized controlled trial. Trials [Internet]. 2016;17(1):1–11. Available from: http://dx.doi.org/10.1186/s13063-016-1527-6

Kang TW, Kim BR. Comparison of Task-oriented Balance Training on Stable and Unstable Surfaces for Fall Risk, Balance, and Gait Abilities of Patients with Stroke. Journal of The Korean Society of Physical Medicine. 2019;14(2):89–95.

Subaş, A ve Çetin, M. Enneagram Kişilik Ölçeğinin Geliştirilmesi: Güvenirlik ve geçerlilik çalışması. Sosyal Bilimler Dergisi, 2017; 4 (11), 160-181.

Dicle, A.N. ve Ersanlı, K. . Başa Çıkma Tutumlarını Değerlendirme Ölçeğinin Türkçeye uyarlama geçerlik ve güvenirlik çalışması. Akademik Sosyal Araştırmalar Dergisi, 2015, 3(16), 111-126.

Ozdilek, B. & Kenangil, G. (2014). Validation of the Turkish version of the Montreal Cognitive Assessment Scale (MoCA-TR) in patients with parkinson’s disease. The Clinical Neuropsychologist, 28(2), 333-343,

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.

Berg KO, Wood-Dauphinee SL, Willians JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.

Mukherjee D, Levin RL, Heller W. The cognitive, emotional, and social sequelae of stroke: Psychological and ethical concerns in post-stroke adaptation. Top Stroke Rehabil. 2006;13(4):26–35.

Nakaya N, Tsubono Y, Hosokawa T, Hozawa A, Kuriyama S, Fukudo S, et al. Personality and mortality from ischemic heart disease and stroke. Clin Exp Hypertens. 2005;27(2–3):297–305.

Gillespie DC. Poststroke anxiety and its relationship to coping and stage of recovery. Psychol Rep. 1997;80(3 PART 2):1059–64.

Donnellan C, Hevey D, Hickey A, O’Neill D. Defining and quantifying coping strategies after stroke: a review. J Neurol Neurosurg Psychiatry [Internet]. 2006 Nov 1 [cited 2021 Nov 16];77(11):1208–18. Available from: https://jnnp.bmj.com/content/77/11/1208

Darlington ASE, Dippel DWJ, Ribbers GM, van Balen R, Passchier J, Busschbach JJV. Coping strategies as determinants of quality of life in stroke patients: A longitudinal study. Cerebrovascular Diseases. 2007;23(5–6):401–7.

Ahn SY, Lee NG, Lee TH. Relation of exercise capacity to comprehensive physical functions in individuals with ischemic stroke. NeuroRehabilitation. 2021;48(3):375–83.

Harris JE, Eng JJ, Marigold DS, Tokuno CD, Louis CL. Relationship of Balance and Mobility to Fall Incidence in People With Chronic Stroke. Phys Ther [Internet]. 2005 Feb 1 [cited 2021 Dec 12];85(2):150–8. Available from: https://academic.oup.com/ptj/article/85/2/150/2804979

Maeda N, Kato J, Shimada T. Predicting the probability for fall incidence in stroke patients using the Berg Balance Scale. Journal of International Medical Research [Internet]. 2009 May 1 [cited 2021 Dec 12];37(3):697–704. Available from: https://journals.sagepub.com/doi/abs/10.1177/147323000903700313

Simpson LA, Miller WC, Eng JJ. Effect of Stroke on Fall Rate, Location and Predictors: A Prospective Comparison of Older Adults with and without Stroke. PLoS One [Internet]. 2011 [cited 2021 Dec 12];6(4):e19431. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0019431