How can patients properly manage their strokes?

  Patients with stroke often have two extreme psychological states, one is pessimism and disappointment, or even despair, loss of confidence, thus giving up treatment, or not cooperating with treatment, resulting in neurological dysfunction can not be restored to the degree of recovery; the other state of mind is too high expectations, when the maximum recovery has been achieved, but also always hope for a better recovery, or even hope to recover to the same as normal people, or always hope that in a short period of time The other mentality is to have high expectations, hoping for better recovery even after maximum recovery, or even hoping to recover as normal, or hoping to recover quickly within a short period of time. As a result, the higher the expectations, the greater the disappointment, depression, irritability, self-loathing, affecting their lives and moods, and the relationship with their families.  Therefore, it is very important for stroke patients to have a clear understanding of their condition and its prognosis. In this way, the patient can maintain a normal state of mind and will neither be in a hurry and expect too much, nor lose confidence and give up treatment.  The recovery of neurological function in most patients is within 6 months after the onset of the disease. Therefore, this period is called the recovery period, and the fastest recovery period is in the first 3 months, so it should be actively treated since 6 months after the onset, especially within the first 3 months. The period beyond 6 months belongs to the sequelae period, and it is usually difficult to have recovery again. However, about 5% of patients still have some recovery within 12 months.  If only simple hemiparesis is present, more than 90% of patients can return to independent walking within 14 weeks. In contrast, if there is a combination of speech impairment, or cognitive impairment, or hemiplegia, or sensory impairment, the patient’s chances of recovering to walk independently are significantly lower.  In addition, the more severe the disease is after the onset (including those who are light at the onset and significantly worse within a few days), the older the patient is, and the more and more severe the complications (such as myocardial infarction, gastrointestinal bleeding, diabetes, infection, etc.), the worse the recovery.  In general, most stroke patients (about 70%) can recover to self-care or basic self-care, but the recovery process is slow and long. Therefore, patients and their families need to have confidence and patience, but also the psychological preparation and mentality that recovery is not ideal.  Persistent rehabilitation exercise is one of the main methods of recovery for patients recovering from stroke.

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