Social Aspects, Health Beliefs, and Economic Burden: Neglected Aspects of Stroke Survivors in India
Background: Social and financial consequences of stroke remain a neglected issue in post-discharge care of stroke patients. The present study assessed the burden of these problems and their associated sociodemographic factors. Materials and Methods: A total of 127 discharged stroke patients were interviewed at home about various aspects of their social life, beliefs about the disease, and their economic situation. Results: There was a significant decrease in personal monthly income and a significant increase in family monthly expenditure after the stroke. Fearing the family to be overconcerned was significantly associated with higher than primary education (odds ratio [OR] = 3.29 [95% confidence intervals (CI) 1.16–9.32]; P < 0.05). Believing religion will help in curing the disease was significantly associated with female gender (OR = 4.65 [95% CI 1.42–15.16]; P < 0.01), married status (OR = 3.18 [95% CI 1.23–8.19]; P < 0.05), and severe stroke (OR = 0.38 [95% CI 0.17–0.92]; P < 0.05). Conclusions: Health-care professionals should be sensitized toward these aspects while planning home-based rehabilitation strategies for stroke patients.
Key words: Home-based care, palliative care, rehabilitation, stroke
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