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Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic

Author

Listed:
  • Hsiang-Yun Chou

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Yu-Chun Lo

    (The Ph.D. Program for Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan)

  • Ya-Wen Tsai

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Chia-Li Shih

    (Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

  • Chieh-Ting Yeh

    (Department of Nursing, An Nan Hospital, China Medical University, Tainan 709204, Taiwan)

Abstract

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.

Suggested Citation

  • Hsiang-Yun Chou & Yu-Chun Lo & Ya-Wen Tsai & Chia-Li Shih & Chieh-Ting Yeh, 2021. "Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:162-:d:710129
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    References listed on IDEAS

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    1. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    2. Amory Martin & Maryia Markhvida & Stéphane Hallegatte & Brian Walsh, 2020. "Socio-Economic Impacts of COVID-19 on Household Consumption and Poverty," Economics of Disasters and Climate Change, Springer, vol. 4(3), pages 453-479, October.
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    Cited by:

    1. Hsiang-Yun Chou & Ya-Wen Tsai & Shang-Chun Ma & Shang-Min Ma & Chia-Li Shih & Chieh-Ting Yeh, 2023. "Efficacy and Cost over 12 Hospitalization Weeks of Postacute Care for Stroke," IJERPH, MDPI, vol. 20(2), pages 1-13, January.

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