[康复对COVID-19脑卒中患者功能/生活质量的影响]。

Ana Karen Herrera-Hernández, Aidée Gibraltar-Conde, Rubén Torres-González, Daniel Martínez-Barro
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引用次数: 0

摘要

背景:COVID-19可出现中枢神经系统的神经系统并发症。在这一人群中有缺血性中风的报道。神经康复参与这些患者的功能恢复和生活质量的改善。目的:了解新型冠状病毒感染(COVID-19)缺血性脑卒中患者的功能和生活质量。材料和方法:对接受神经康复治疗的缺血性脑卒中患者进行了一项观察性、前瞻性和纵向研究。采用Barthel指数、改良Rankin量表和SF-12来监测功能和生活质量。为了比较功能独立患者的比例,采用McNemar检验;SF-12成绩根据其正态性,采用Student’st检验或Wilcoxon检验。p < 0.05差异有统计学意义。结果:纳入21例患者;平均年龄53.57±12.2岁;以男性为主(66.7%)。随访第3个月Barthel指数(p < 0.01)和改良Rankin量表(p < 0.01)中日常生活和功能生活独立程度较高的患者比例均有所增加。生活质量在身体部分(p = 0.02)、总体健康(p = 0.01)和精神健康(p = 0.04)方面均有所改善。结论:接受神经康复治疗的COVID-19脑卒中患者在3个月的随访中,功能独立性有所改善,身体成分的生活质量有所提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].

[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].

[Effect of rehabilitation on functionality/quality of life in stroke due to COVID-19].

Background: COVID-19 can present neurological complications of the central nervous system. Ischemic-type strokes have been reported in this population. Neurological rehabilitation participates in the functional recovery and improvement of the quality of life of these patients.

Objective: To measure the functionality and quality of life of patients with ischemic stroke due to COVID-19.

Material and methods: An observational, prospective and longitudinal study of patients with ischemic stroke admitted to a neurological rehabilitation program was carried out. The Barthel index, the modified Rankin Scale and the SF-12 were used to monitor functionality and quality of life. To compare the proportions of patients with functional independence, the McNemar test was used; for SF-12 scores, Student's t test was used for related data or Wilcoxon test, depending on their normality. A p < 0.05 was significant.

Results: 21 patients were included; mean age was 53.57 ± 12.2 years; they were predominantly male (66.7%). The percentage of patients with higher degrees of independence in daily and functional life increased, both in the Barthel index (p < 0.01) and in the modified Rankin scale (p < 0.01) at the third month of follow-up. There was an improvement in the quality of life in its physical component (p = 0.02), as well as in the dimensions of general health (p = 0.01) and mental health (p = 0.04).

Conclusions: Patients with stroke due to COVID-19 admitted to the neurological rehabilitation program presented improvement in functional independence and increased their quality of life in their physical component at 3-month follow-up.

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