Ścisło Lucyna, Staszkiewicz Magdalena, Walewska Elżbieta, Paplaczyk-Serednicka Małgorzata, Bodys-Cupak Iwona, Zawieja Paulina
Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University, Medical College, Kraków, 31-501, Poland.
Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, 31-126, Poland.
J Multidiscip Healthc. 2024 Mar 4;17:959-969. doi: 10.2147/JMDH.S444049. eCollection 2024.
The factors determining the level of functional efficiency in patients after ischemic stroke are: age, sex, physical condition, mental activity before stroke, previous neurological deficits, comorbidities, nutritional status and the course of the stroke.
Assessment of the functional efficiency of patients before and after rehabilitation due to ischemic stroke and determination of the influence of selected factors on the effects of rehabilitation measured by functional efficiency.
The study was conducted in neurological rehabilitation centers among 82 people diagnosed with ischemic stroke. The examination was performed twice: on admission to the ward and after a month of neurological rehabilitation. The diagnostic survey method, the Barthel scale, the NRS 2002 scale were used, and the BMI was calculated.
The functional efficiency level of the patients was varied, higher after one month of rehabilitation (p <0.05). Among the patients who achieved a lower level of functional efficiency, the following factors had a significant influence: underweight and overweight (p = 0.002), risk of malnutrition (p = 0.002), right-sided paresis (p = 0.016), limited physical activity before stroke (p = 0.01) and the later rehabilitation period (p = 0.01). There was no correlation between sociodemographic data and the level of efficiency of patients after a stroke after one month of rehabilitation.
The level of functional efficiency after rehabilitation improved in all patients, however, to a different extent depending on the nutritional status and physical activity. Therefore, it is important to to undertake rehabilitation in the shortest possible time.
决定缺血性中风患者功能效率水平的因素包括：年龄、性别、身体状况、中风前的精神活动、既往神经功能缺损、合并症、营养状况以及中风病程。
评估缺血性中风患者康复前后的功能效率，并确定所选因素对以功能效率衡量的康复效果的影响。
该研究在神经康复中心对82名被诊断为缺血性中风的患者进行。检查进行了两次：入院时和神经康复一个月后。使用了诊断调查方法、Barthel量表、NRS 2002量表，并计算了BMI。
患者的功能效率水平各不相同，康复一个月后更高（p<0.05）。在功能效率水平较低的患者中，以下因素有显著影响：体重过轻和超重（p = 0.002）、营养不良风险（p = 0.002）、右侧轻瘫（p = 0.016）、中风前身体活动受限（p = 0.01）以及康复期较晚（p = 0.01）。社会人口统计学数据与中风患者康复一个月后的效率水平之间没有相关性。
所有患者康复后的功能效率水平均有所提高，但程度因营养状况和身体活动而异。因此，在尽可能短的时间内进行康复很重要。
