脑卒中后患者在自我照顾和自我护理方面的残疾情况,考虑到他们的性别、居住地和对康复的态度

Bogusława Maria Borkowska, Elżbieta Grzywacz, Jolanta Chmielowiec, Jolanta Masiak, Stanisław Manulik, Roger Machnik, Krzysztof Chmielowiec
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摘要

介绍。中风被认为是医疗紧急情况。这是一种持续24小时以上的脑部疾病。幸存者可能会以各种方式永久残疾。正是由于这个原因,采取了许多措施来降低这些病人的死亡率和残疾程度。无论是缺血性中风还是出血性中风,康复都是治疗中风患者不可或缺且极其重要的一部分。应该尽快开始,因为病人恢复的速度和程度取决于它。的目标。本研究的目的是分析和评估100名在Zielona大学医院脑卒中分科神经内科的脑卒中后患者的自我照顾和自我护理的缺陷。材料和方法。在研究之前使用了一份自学问卷。结果。在研究对象中,缺血性中风是最常见的(84%)。几乎一半的受试者有身体残疾,在一定程度上限制了他们的行动自由(47%)。32%的受试者报告了显著程度的限制。统计分析显示,身体康复恢复活动能力后,个体报告的中度疼痛频率显著增加(p<0.000001)。观察到的效果强度为中等(Cramer 's V = 0.43, 95% CI (0.27;0.56))。关键词:残疾,脑卒中,自我护理,康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disability of post-stroke patients in the context of self-care and self-nursing, taking into account their sex, place of residence and attitude towards rehabilitation
Introduction. A stroke is considered a medical emergency. It is an occurrence of brain disorders lasting more than 24 hours. Survivors are likely to be permanently disabled in a variety of ways. It is for this reason that numerous measures have been taken to reduce the mortality and degree of disability of these patients. Rehabilitation is an integral and extremely important part of the treatment of people who suffered a stroke – both ischemic and hemorrhagic. It should be started as soon as possible, because how quickly and to what extent the patient recovers depends on it. Aim. The aim of the study was to analyze and evaluate the deficit of self-care and self-nursing of 100 post-stroke patients at the Department of Neurology with the Stroke Sub-department of the University Hospital in Zielona Góra. Material and methods. A self-study questionnaire was used prior to the study. Results. Among the subjects of the study, ischemic stroke was the most common (84%). Almost half of the subjects had a physical disability that limited their freedom of movement to a minor degree (47%). A significant degree of limitation was reported by 32% of the subjects. Statistical analysis showed a significant increase in the frequency of moderate pain reported by individuals after physical rehabilitation that restored their mobility – p<0.000001. The strength of the observed effect was moderate (Cramer’s V = 0.43, 95% CI (0.27; 0.56)). Keywords: disability, stroke, self-care, rehabilitation.
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