The Influence of Neurological Rehabilitation on Patients’ Quality of Life After Ischemic Stroke: A Prospective Study in Romania

T. Schreiner
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引用次数: 2

Abstract

Background: Stroke is a public health problem in Romania, with important medical, social and financial implications, and sustained efforts are being made to improve post-stroke rehabilitation phase. A significant concern nowadays is the patient’s quality of life (QOL); a successful stroke recovery therapy implies the increasing of QOL index. However, there are very few studies evaluating patients’ QOL after stroke in Romania. In this context, the aim of this study was to evaluate the benefits that 1-year rehabilitation therapy brings to a patient with a history of ischemic stroke, highlighting the factors that influence the QOL index. Methods: A prospective study was conducted in which the QOL (calculated using the stroke-specific QOL (SSQOL) questionnaire) was measured in a group of 40 patients who had suffered an ischemic stroke in the left middle cerebral artery territory and benefited from rehabilitation therapy for 1 year. Patients admitted in our Neurology Department between January 2018 and June 2019 were divided into several subgroups according to age, gender, domicile, educational level, familial support and comorbidities. Statistical data were processed in SPSS v.20. Results: Among the individual factors studied, young age (under 60) showed a positive impact on QOL improvement after 1 year of stroke rehabilitation therapy (P = 0.005). This was explained by the young patient’s profile, with urban domicile (55% vs. 45%), higher educational level (60% vs. 40%) and family support. The best recovered functions as noted by the questionnaire were language (18.25 ± 4.95; P = 0.015), upper motor functions (21.50 ± 2.70; P = 0.039), personality (12 ± 0.81; P = 0.032) and family roles (11.53 ± 1.81; P = 0.007). On the other hand, patient’s gender (male 155.55 ± 31.21 vs. female 152.94 ± 28.14) did not influence the outcome of the therapy (P = 0.267). Conclusion: Stroke rehabilitation treatment is an essential component for improving the QOL of the patient after stroke; it has become topic of concern in the literature nowadays. This work complements the existing data on this topic for stroke patients in Romania. J Neurol Res. 2020;10(3):80-90 doi: https://doi.org/10.14740/jnr596
神经康复对缺血性脑卒中患者生活质量的影响:罗马尼亚的一项前瞻性研究
背景:中风是罗马尼亚的一个公共卫生问题,具有重要的医疗、社会和财政影响,目前正在持续努力改善中风后康复阶段。现在一个重要的问题是病人的生活质量(QOL);成功的脑卒中恢复治疗意味着生活质量指数的提高。然而,对罗马尼亚脑卒中患者生活质量的评价研究很少。在此背景下,本研究的目的是评估1年康复治疗给缺血性脑卒中患者带来的益处,突出影响生活质量指数的因素。方法:采用卒中特异性生活质量问卷(stroke-specific QOL, SSQOL)对40例脑左中动脉区域缺血性卒中患者进行为期1年的康复治疗,测量患者的生活质量(QOL)。2018年1月至2019年6月在我院神经内科住院的患者根据年龄、性别、住所、教育程度、家庭支持和合并症分为几个亚组。统计数据采用SPSS v.20软件处理。结果:在研究的个体因素中,年龄小(60岁以下)对脑卒中康复治疗1年后生活质量的改善有正向影响(P = 0.005)。这可以用年轻患者的情况来解释,包括城市户籍(55%对45%)、较高的教育水平(60%对40%)和家庭支持。问卷结果显示,语言功能恢复最佳(18.25±4.95);P = 0.015),上肢运动功能(21.50±2.70;P = 0.039),个性(12±0.81;P = 0.032)和家庭角色(11.53±1.81;P = 0.007)。另一方面,患者的性别(男性155.55±31.21 vs女性152.94±28.14)对治疗结果无影响(P = 0.267)。结论:脑卒中康复治疗是提高脑卒中患者生活质量的重要组成部分;它已成为当今文学关注的话题。这项工作补充了罗马尼亚中风患者这一主题的现有数据。中华神经科学杂志,2020;10(3):80-90 doi: https://doi.org/10.14740/jnr596
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