Khanna Meeka, Sivadas Dhinla, Gupta Anupam, Haldar Partha, Prakash Navin B
Department of Neurological Rehabilitation, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Neurosci Rural Pract. 2022 Oct-Dec;13(4):800-803. doi: 10.25259/JNRP-2022-1-18-R1-(2322). Epub 2022 Nov 18.
Despite remarkable progression in the treatment of stroke, the life quality and social related events caused by stroke have received limited attention in our country. Quality of life (QOL) assessment is an important part of the evaluation of stroke patients and their management. The objective of this study was to assess QOL in patients with stroke at the time of admission in rehabilitation unit and to assess the impact of inpatient rehabilitation on change in QOL in these patients.
Adult patients with first arterial stroke of any duration, with presentation as hemiplegia, were recruited. The clinical outcome scales and 36-Item Short Form Health Survey (SF-36) parameters for QOL were assessed at both admission and discharge. The scales used were Scandinavian stroke scale (SSS), Barthel Index (BI), and modified Rankin Scale. SF-36 scores were assessed after 6 weeks of discharge also.
Ten patients with median age of 36.5 years and median duration of stroke 75 days were recruited. There was significant improvement in functional scores of BI and SSS scales at the time of discharge. Majority of the components of both physical and mental domains of QOL SF-36 questionnaire showed significant improvement. The QOL scores after 6 weeks of discharge did not show significant change except for the emotional well-being.
The QOL in patients with stroke improves with inpatient rehabilitation along with motor and functional scores. Improved functional independence leads to better emotional state after discharge also.
尽管中风治疗取得了显著进展，但中风所导致的生活质量和社会相关事件在我国受到的关注有限。生活质量（QOL）评估是中风患者评估及其管理的重要组成部分。本研究的目的是评估康复科住院时中风患者的生活质量，并评估住院康复对这些患者生活质量变化的影响。
招募首次发生任何时长动脉性中风且表现为偏瘫的成年患者。在入院和出院时评估临床结局量表以及生活质量的36项简短健康调查（SF - 36）参数。使用的量表有斯堪的纳维亚中风量表（SSS）、巴氏指数（BI）和改良Rankin量表。出院6周后也评估SF - 36评分。
招募了10例患者，中位年龄36.5岁，中风中位时长75天。出院时BI和SSS量表的功能评分有显著改善。生活质量SF - 36问卷的身体和心理领域的大多数组成部分都有显著改善。出院6周后的生活质量评分除情感幸福感外无显著变化。
中风患者的生活质量随着住院康复以及运动和功能评分的改善而提高。功能独立性的提高也会使出院后的情绪状态更好。
