Impaired Work Productivity After Aneurysmal Subarachnoid Hemorrhage.
Background: Aneurysmal subarachnoid hemorrhage (aSAH) is a sudden debilitating condition affecting individuals during the most productive times of their lives. Treatment advances have reduced mortality rates but increased the number of survivors facing deficits in physical and neuropsychological fun...
| Publicado en: | Journal of Neuroscience Nursing Vol. 48; no. 5; pp. 260 - 269 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118160489&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118160489 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08880395 38Z jtl: Journal of Neuroscience Nursing issn: 08880395 maglogo: N pubinfo: dt: Oct2016 vid: 48 iid: 5 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 118160489 118160489 118160489 10.1097/JNN.0000000000000209 118160489 ppf: 260 ppct: 9 formats: tig: atl: Impaired Work Productivity After Aneurysmal Subarachnoid Hemorrhage. aug: au: Crago, Elizabeth A. Price, Thomas J. Bender, Catherine M. Dianxu Ren Poloyac, Samuel M. Sherwood, Paula R. affil: Assistant Professor, Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA sug: subj: Subarachnoid Hemorrhage Complications Cerebral Aneurysm Physiopathology Neuropsychology Job Performance Productivity Human United States Prospective Studies Questionnaires Neuropsychological Tests Psychomotor Performance Executive Function Task Performance and Analysis Time Management Memory Male Female Adult Middle Age Data Analysis Software Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Aneurysmal subarachnoid hemorrhage (aSAH) is a sudden debilitating condition affecting individuals during the most productive times of their lives. Treatment advances have reduced mortality rates but increased the number of survivors facing deficits in physical and neuropsychological function. Objective: This study examined associations between neuropsychological function and work productivity after aSAH. Methods: Fifty-two patients with aSAH, employed before hemorrhage, were recruited from an ongoing National Institutes of Health study. Work Limitations Questionnaire (WLQ), neuropsychological tests (executive function, psychomotor speed, attention and mental flexibility, memory), and Patient Assessment of Own Function were completed at 3 and 12 months after aSAH. Results: Subjects in this analysis reported some level of difficulty in work productivity at 3 and 12 months (35% and 30%, respectively) after hemorrhage. Lower WLQ scores in time management and mental/interpersonal subscales were associated with poorer performance in psychomotor function (r = .5, p = .04 and r = .42, p = .09). Poorer mental flexibility and working memory correlated with time management difficulty at 3 months (r = -.4, p = .09 and r= .54, p = .02). Patients performing poorly on story recall tests were more likely to report difficulty with job physical performance (r = -.42, p = .09) and completing work effectively (r = .61, p = .009). Poorer working memory performance was associated with lower scores on mental/interpersonal WLQ subscales (r = .45, p = .05) and overall health-related work productivity loss (r = .47, p = .04). WLQ areas also correlated with participants' perception of their neuropsychological function after aSAH. Conclusions: These results suggest that neuropsychological deficits impact work quality after hemorrhage and provide strong impetus for future studies so that domain-specific interventions can be implemented to improve outcomes that affect quality of life including work productivity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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