A description of functional needs of community-dwelling stroke survivors in Rwanda: a prospective observational cohort study.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-04-18 DOI:10.1080/09638288.2025.2490225

Anne Kumurenzi, Tiago S Jesus, Julie Richardson, Lehana Thabane, Jeanne Kagwiza, Lynn Cockburn, Peter Langhorne, Vincent DePaul, Rita Melifonwu, Leah Hamilton, Gerard Urimubenshi, Patrick Bidulka, Martin Kaddumukasa, Jackie Bosch

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引用次数: 0

Abstract

Purpose: Stroke survivors in low- and middle-income countries have different needs compared to those in high-income countries. Our aim was to describe the unmet functional needs of Rwandan stroke survivors at discharge and three months after stroke.

Methods: A study using an adapted modified Needs Assessment Questionnaire (mNAQ) was conducted at six hospitals in Rwanda. Moderate or severe needs are described using descriptive statistics and logistic regression models.

Results: A total of 337 participants, with a mean age of 61 years, were recruited. Most were female (59%), and 70% had an ischemic stroke, while 71% had hypertension. At discharge, 97% of participants had moderate to severe needs. Follow-up at three months was available for 78% of participants and 22% died. At three months, over 70% of participants continued to have moderate to severe needs.

Conclusions: Almost all Rwandan stroke survivors have moderate to severe needs and disability at the time of discharge, and for those that survive, over 70% continue to have moderate to severe needs at 3 months. This estimate is much higher than previously reported. Improving functioning in the community is essential for Rwandan stroke survivors.

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卢旺达社区居住中风幸存者的功能需求描述：一项前瞻性观察队列研究。

目的：与高收入国家相比，低收入和中等收入国家的中风幸存者有不同的需求。我们的目的是描述卢旺达中风幸存者在出院时和中风后三个月未满足的功能需求。方法：在卢旺达的六家医院进行了一项研究，使用了经过修改的需求评估问卷（mNAQ）。使用描述性统计和逻辑回归模型描述中度或重度需求。结果：共招募了337名参与者，平均年龄61岁。大多数是女性（59%），70%患有缺血性中风，71%患有高血压。出院时，97%的参与者有中度到重度需求。78%的参与者在三个月后随访，22%的参与者死亡。在三个月时，超过70%的参与者仍然有中度到重度的需求。结论：几乎所有卢旺达中风幸存者在出院时都有中度至重度需求和残疾，而对于那些存活下来的人，超过70%的人在3个月时仍有中度至重度需求。这一估计比以前报告的要高得多。改善社区功能对卢旺达中风幸存者至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.