Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital

Wakulwa Sylvester Silas; Otieno Boaz Samwel; Kirika Lydia; Wanjala Caleb

doi:doi:10.11648/j.wjph.20210604.11

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Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital

Wakulwa Sylvester Silas, Otieno Boaz Samwel, Kirika Lydia, Wanjala Caleb

Published in World Journal of Public Health (Volume 6, Issue 4)

Received: 13 September 2021 Accepted: 4 October 2021 Published: 12 October 2021

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Abstract

Background: Stroke is a condition that reduces blood flow to the central nervous system—specifically, the brain and may be associated with long-term neurologic adverse effects that result in accelerated functional decline and disability. Self-care is one of the greatest challenges to stroke survivors, they lose the ability to do certain activities of daily living and depend partially or entirely on others. The purpose of this study was to understand the factors associated with self-care among stroke survivors at Kenyatta National Hospital. Method: The study adopted a cross-sectional analytical design, where convenience and purposeful sampling were employed during questionnaire administration. The study involved interviewing 90 volunteer patients. Both Qualitative and Quantitative data were collected and analyzed using SPSS version 21. Logistic regression and correlation analysis were used to determine the influence and relationship of socio-demographic, clinical impairment, and psychosocial factors on self-care performance. Results: A sample consisted of 90 respondents. Demographic analyses revealed that the majority of stroke patients were female gender (n=54; 60%), aged between 56-65 years, (26%), married (n=55; 62.5%), on education (n=68; 75.6% had at least attained secondary school. Socio-demographic and clinical impairment factors had positive significant influence on self care performance at Pearson correlation {(df=1 N=90)=<0.05}, analysis of the psychosocial variables revealed that most stroke survivors would need support hence having insignificant negative effect on self care performance, Pearson correlation {(df=1 N=90)=0.05. Conclusion: Socio-demographic and clinical impairment predict the level of self-care performance while psychosocial factors did not influence performance of self care.

Published in	World Journal of Public Health (Volume 6, Issue 4)
DOI	10.11648/j.wjph.20210604.11
Page(s)	128-138
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Self Care, Socio Demographic, Stroke, Impairments, Psychosocial

References

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[6]	Dong, E., &Juh, H. (2019). Self - care performance of middle aged stroke patients in Korea. Clinical Nursing Research, Pubmed, Vol 3, issue 3, pages 263-279. Korea.
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[8]	Kaduka, L., Muniu, E., Oduor, C., Mbui, J., Gakunga, R., Kwasa, J., Wabwire, S., Okerosi, N., Korir.,&Remick, S. (2018). Stroke mortality in Kenya’s Public Tertiary Hospitals: A prospective Facility-based study. Vol 8 Issue 2 Pages 70-79. PMC. PubMed.
[9]	Kim, K., Mi Kim, Y., & Kim, E. (2014). Correlation between the Activities of Daily Living of Stroke Patients in a Community Setting and Their Quality of Life. The Journal of Physical Therapy Science, 417-419.
[10]	Loetscher, T., Potter, K-J., Wong, D., & Nair, R. (2019). Cognitive rehabilitation for attention deficits following stroke. Cochran Database System Review, John Wiley & sons ltd. Vol 11
[11]	Nott, M., Wiseman, L., Seymour, T., Pike, S., Cunning, T., & Wall, G. (2021). Stroke self management and the role of self - efficacy. Disability Rehabilitation, National Library of Medicine, Vol 43, issue 10, pages 1410-1419.
[12]	Onabajo, V. G., Muhammad, M. M., Ali, U. M., &Masta, A. M. (2015). Influence of Sociodemographic and Stroke-related Factors on Availability of Social Support among Nigerian Stroke Survivors. Annals of Medical and Health Science Research, 353-357.
[13]	Szymon, J., Bozena, J., Barbara, B., Pascal, A., &Mondler, T. (2020). Health related quality of life of patients after ischemic Stroke treated in a provincial hospital in poland. Journal of Mark access health policy, Pub med, Vol 8, issue 1. Poland.
[14]	Sveen, U. & Bautz, H. (2009). Association between impairments, self-care ability and social activities 1 year after stroke. Disability and Rehabilitation, Vol 21, Issue 8. London; Taylor&Francis online.
[15]	Whooley, M. A., de, J. P., &Vittinghoff, F. (2008). Depressive symptoms, health behaviors, and risk of cardiovascular events in patients with coronary heart disease. Journal of the American Medical Association, 2379–2388.
[16]	World Health Organization (2015). Stroke statistics.
[17]	World Health Organization (2017). Stroke data.
[18]	Yousufuddin, M., & Nathan, Y. (2019). Aging and ischemic stroke. Open-Access Impact Journal on Aging.
[19]	Zhang, H., Zhou, T., Zhang, Y., Zang, Y., &Xu, Y. (2011). Correlation between social support and depression in elderly stroke patients in the sequelae stage from five communities Shanghai, China. Neural Regeneration Research Journal, 1493-1497.

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APA Style

Wakulwa Sylvester Silas, Otieno Boaz Samwel, Kirika Lydia, Wanjala Caleb. (2021). Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World Journal of Public Health, 6(4), 128-138. https://doi.org/10.11648/j.wjph.20210604.11

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ACS Style

Wakulwa Sylvester Silas; Otieno Boaz Samwel; Kirika Lydia; Wanjala Caleb. Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World J. Public Health 2021, 6(4), 128-138. doi: 10.11648/j.wjph.20210604.11

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AMA Style

Wakulwa Sylvester Silas, Otieno Boaz Samwel, Kirika Lydia, Wanjala Caleb. Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World J Public Health. 2021;6(4):128-138. doi: 10.11648/j.wjph.20210604.11

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@article{10.11648/j.wjph.20210604.11,
  author = {Wakulwa Sylvester Silas and Otieno Boaz Samwel and Kirika Lydia and Wanjala Caleb},
  title = {Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital},
  journal = {World Journal of Public Health},
  volume = {6},
  number = {4},
  pages = {128-138},
  doi = {10.11648/j.wjph.20210604.11},
  url = {https://doi.org/10.11648/j.wjph.20210604.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210604.11},
  abstract = {Background: Stroke is a condition that reduces blood flow to the central nervous system—specifically, the brain and may be associated with long-term neurologic adverse effects that result in accelerated functional decline and disability. Self-care is one of the greatest challenges to stroke survivors, they lose the ability to do certain activities of daily living and depend partially or entirely on others. The purpose of this study was to understand the factors associated with self-care among stroke survivors at Kenyatta National Hospital. Method: The study adopted a cross-sectional analytical design, where convenience and purposeful sampling were employed during questionnaire administration. The study involved interviewing 90 volunteer patients. Both Qualitative and Quantitative data were collected and analyzed using SPSS version 21. Logistic regression and correlation analysis were used to determine the influence and relationship of socio-demographic, clinical impairment, and psychosocial factors on self-care performance. Results: A sample consisted of 90 respondents. Demographic analyses revealed that the majority of stroke patients were female gender (n=54; 60%), aged between 56-65 years, (26%), married (n=55; 62.5%), on education (n=68; 75.6% had at least attained secondary school. Socio-demographic and clinical impairment factors had positive significant influence on self care performance at Pearson correlation {(df=1 N=90)=<0.05}, analysis of the psychosocial variables revealed that most stroke survivors would need support hence having insignificant negative effect on self care performance, Pearson correlation {(df=1 N=90)=0.05. Conclusion: Socio-demographic and clinical impairment predict the level of self-care performance while psychosocial factors did not influence performance of self care.},
 year = {2021}
}

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TY  - JOUR
T1  - Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital
AU  - Wakulwa Sylvester Silas
AU  - Otieno Boaz Samwel
AU  - Kirika Lydia
AU  - Wanjala Caleb
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.wjph.20210604.11
DO  - 10.11648/j.wjph.20210604.11
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 128
EP  - 138
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20210604.11
AB  - Background: Stroke is a condition that reduces blood flow to the central nervous system—specifically, the brain and may be associated with long-term neurologic adverse effects that result in accelerated functional decline and disability. Self-care is one of the greatest challenges to stroke survivors, they lose the ability to do certain activities of daily living and depend partially or entirely on others. The purpose of this study was to understand the factors associated with self-care among stroke survivors at Kenyatta National Hospital. Method: The study adopted a cross-sectional analytical design, where convenience and purposeful sampling were employed during questionnaire administration. The study involved interviewing 90 volunteer patients. Both Qualitative and Quantitative data were collected and analyzed using SPSS version 21. Logistic regression and correlation analysis were used to determine the influence and relationship of socio-demographic, clinical impairment, and psychosocial factors on self-care performance. Results: A sample consisted of 90 respondents. Demographic analyses revealed that the majority of stroke patients were female gender (n=54; 60%), aged between 56-65 years, (26%), married (n=55; 62.5%), on education (n=68; 75.6% had at least attained secondary school. Socio-demographic and clinical impairment factors had positive significant influence on self care performance at Pearson correlation {(df=1 N=90)=<0.05}, analysis of the psychosocial variables revealed that most stroke survivors would need support hence having insignificant negative effect on self care performance, Pearson correlation {(df=1 N=90)=0.05. Conclusion: Socio-demographic and clinical impairment predict the level of self-care performance while psychosocial factors did not influence performance of self care.
VL  - 6
IS  - 4
ER  -

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Author Information

Wakulwa Sylvester Silas

Community Health Department, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya
Otieno Boaz Samwel

Community Health Department, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya
Kirika Lydia

Community Health Department, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya
Wanjala Caleb

Community Health Department, Faculty of Health Sciences, Great Lakes University, Nairobi, Kenya

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APA Style

Wakulwa Sylvester Silas, Otieno Boaz Samwel, Kirika Lydia, Wanjala Caleb. (2021). Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World Journal of Public Health, 6(4), 128-138. https://doi.org/10.11648/j.wjph.20210604.11

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ACS Style

Wakulwa Sylvester Silas; Otieno Boaz Samwel; Kirika Lydia; Wanjala Caleb. Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World J. Public Health 2021, 6(4), 128-138. doi: 10.11648/j.wjph.20210604.11

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AMA Style

Wakulwa Sylvester Silas, Otieno Boaz Samwel, Kirika Lydia, Wanjala Caleb. Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital. World J Public Health. 2021;6(4):128-138. doi: 10.11648/j.wjph.20210604.11

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@article{10.11648/j.wjph.20210604.11,
  author = {Wakulwa Sylvester Silas and Otieno Boaz Samwel and Kirika Lydia and Wanjala Caleb},
  title = {Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital},
  journal = {World Journal of Public Health},
  volume = {6},
  number = {4},
  pages = {128-138},
  doi = {10.11648/j.wjph.20210604.11},
  url = {https://doi.org/10.11648/j.wjph.20210604.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210604.11},
  abstract = {Background: Stroke is a condition that reduces blood flow to the central nervous system—specifically, the brain and may be associated with long-term neurologic adverse effects that result in accelerated functional decline and disability. Self-care is one of the greatest challenges to stroke survivors, they lose the ability to do certain activities of daily living and depend partially or entirely on others. The purpose of this study was to understand the factors associated with self-care among stroke survivors at Kenyatta National Hospital. Method: The study adopted a cross-sectional analytical design, where convenience and purposeful sampling were employed during questionnaire administration. The study involved interviewing 90 volunteer patients. Both Qualitative and Quantitative data were collected and analyzed using SPSS version 21. Logistic regression and correlation analysis were used to determine the influence and relationship of socio-demographic, clinical impairment, and psychosocial factors on self-care performance. Results: A sample consisted of 90 respondents. Demographic analyses revealed that the majority of stroke patients were female gender (n=54; 60%), aged between 56-65 years, (26%), married (n=55; 62.5%), on education (n=68; 75.6% had at least attained secondary school. Socio-demographic and clinical impairment factors had positive significant influence on self care performance at Pearson correlation {(df=1 N=90)=<0.05}, analysis of the psychosocial variables revealed that most stroke survivors would need support hence having insignificant negative effect on self care performance, Pearson correlation {(df=1 N=90)=0.05. Conclusion: Socio-demographic and clinical impairment predict the level of self-care performance while psychosocial factors did not influence performance of self care.},
 year = {2021}
}

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TY  - JOUR
T1  - Factors Associated with Self Care Among Stroke Survivors at Kenyatta National Hospital
AU  - Wakulwa Sylvester Silas
AU  - Otieno Boaz Samwel
AU  - Kirika Lydia
AU  - Wanjala Caleb
Y1  - 2021/10/12
PY  - 2021
N1  - https://doi.org/10.11648/j.wjph.20210604.11
DO  - 10.11648/j.wjph.20210604.11
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 128
EP  - 138
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20210604.11
AB  - Background: Stroke is a condition that reduces blood flow to the central nervous system—specifically, the brain and may be associated with long-term neurologic adverse effects that result in accelerated functional decline and disability. Self-care is one of the greatest challenges to stroke survivors, they lose the ability to do certain activities of daily living and depend partially or entirely on others. The purpose of this study was to understand the factors associated with self-care among stroke survivors at Kenyatta National Hospital. Method: The study adopted a cross-sectional analytical design, where convenience and purposeful sampling were employed during questionnaire administration. The study involved interviewing 90 volunteer patients. Both Qualitative and Quantitative data were collected and analyzed using SPSS version 21. Logistic regression and correlation analysis were used to determine the influence and relationship of socio-demographic, clinical impairment, and psychosocial factors on self-care performance. Results: A sample consisted of 90 respondents. Demographic analyses revealed that the majority of stroke patients were female gender (n=54; 60%), aged between 56-65 years, (26%), married (n=55; 62.5%), on education (n=68; 75.6% had at least attained secondary school. Socio-demographic and clinical impairment factors had positive significant influence on self care performance at Pearson correlation {(df=1 N=90)=<0.05}, analysis of the psychosocial variables revealed that most stroke survivors would need support hence having insignificant negative effect on self care performance, Pearson correlation {(df=1 N=90)=0.05. Conclusion: Socio-demographic and clinical impairment predict the level of self-care performance while psychosocial factors did not influence performance of self care.
VL  - 6
IS  - 4
ER  -

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