Martins T, Ribeiro J P, Garrett C
Escuela Superior de Enfermería de São João, Oporto, Portugal.
Rev Neurol. 2006;42(11):655-9.
After acute episode, a great number of individuals who survive a stroke have impairments that impede them to carry out with autonomy a set of basic activities of daily life and instrumental activities of daily life. The clinical evaluation health self perception is a useful element on patient's recovering process. The purpose of this study was to evaluate post-stroke functional health status and quality of life.
After identification of a cohort of admitted patients at a general hospital, those were contacted by phone nine months after discharge. The collected tool sent by mail included the COOP WONCA charts, Frenchay Activities Index, Barthel Index, Rankin scale and a set of socio-demographic variables.
Participants survival rate was of 81%. The physical functioning and the capacity to perform daily activities were the most affected ones, impairing the patients of making a set of basic and instrumental daily activities. The emotional state and health self-perception are also correlated to disability.
The results suggest a significative percentage of stroke survivors maintaining a moderate or severe disability (47.8%) requiring the presence of caregiver helping self-care. Collected data enhances that stroke survivors have severe physical dysfunction associated to emotional and psychological disturbances.
急性发作后，大量中风幸存者存在功能障碍，这阻碍了他们自主进行一系列基本日常生活活动和工具性日常生活活动。临床评估健康自我认知是患者康复过程中的一个有用因素。本研究的目的是评估中风后的功能健康状况和生活质量。
在一家综合医院确定一组入院患者后，在出院九个月后通过电话联系他们。通过邮件发送的收集工具包括COOP WONCA图表、法国ay活动指数、巴氏指数、兰金量表以及一组社会人口统计学变量。
参与者生存率为81%。身体功能和进行日常活动的能力受影响最大，使患者难以进行一系列基本和工具性日常活动。情绪状态和健康自我认知也与残疾相关。
结果表明，相当比例的中风幸存者维持中度或重度残疾（47.8%），需要有护理人员帮助进行自我护理。收集的数据表明，中风幸存者存在与情绪和心理障碍相关的严重身体功能障碍。
