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Factors associated with the longer-term unmet supportive care needs of stroke survivors in Ethiopia: a multicentre cross-sectional study.


ABSTRACT:

Objectives

To assess the magnitude of the longer-term unmet supportive care needs and associated factors among adult stroke survivors.

Design

Institutional-based multicentre cross-sectional study.

Setting

Between 1 March 2020 and 31 May 2020, in Addis Ababa, Ethiopia.

Participants

Adult stroke survivors (aged ≥18 years, n=422), diagnosed with a stroke at least 6 months before the study period and who started regular follow-up at the neurology outpatient clinics in Addis Ababa, Ethiopia.

Main outcome measures

Self-reported longer-term supportive care needs.

Results

Two hundred and twenty-six (53.6%) stroke survivors had longer-term unmet supportive care needs, and 196 (46.4%) survivors had no longer-term unmet supportive care needs. Information need about stroke was reported by 416 (98.6%), and how to travel on public transportation was reported by 340 (80.6%) survivors. These were the most frequently reported unmet needs. Stroke survivors' longer-term unmet supportive care needs were significantly associated with being hypertensive with (adjusted OR (AOR) 4.59; 95% CI 2.61 to 8.07), having heart disease with (AOR 1.94; 95% CI 1.19 to 3.82), moderate and above level of disability according to the modified Rankin Scale score with (AOR 26.4; 95% CI 8.61 to 80.92) and unable to use the physiotherapy service with (AOR 2.85; 95% CI of 1.63 to 4.99).

Conclusions

There are significant longer-term unmet supportive care needs among adult stroke survivors. The factors associated with longer-term unmet supportive care needs were; having comorbidities, moderate and above level of disability according to the modified Rankin Scale score and unable to use the physiotherapy service. The development of appropriate services to address the longer-term unmet supportive care needs of stroke survivors is warranted.

SUBMITTER: Tamrat EG 

PROVIDER: S-EPMC8804629 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

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Publications

Factors associated with the longer-term unmet supportive care needs of stroke survivors in Ethiopia: a multicentre cross-sectional study.

Tamrat Edna Gebremichael EG   Gufue Zenawi Hagos ZH   Getachew Sefonias S   Yifru Yared Mamushet YM   Gizaw Muluken M  

BMJ open 20220131 1


<h4>Objectives</h4>To assess the magnitude of the longer-term unmet supportive care needs and associated factors among adult stroke survivors.<h4>Design</h4>Institutional-based multicentre cross-sectional study.<h4>Setting</h4>Between 1 March 2020 and 31 May 2020, in Addis Ababa, Ethiopia.<h4>Participants</h4>Adult stroke survivors (aged ≥18 years, n=422), diagnosed with a stroke at least 6 months before the study period and who started regular follow-up at the neurology outpatient clinics in Ad  ...[more]

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