DOI: https://doi.org/10.22141/2224-0713.4.58.2013.85484

Life Quality Score Dynamics of Patients in Early Recovery Period after Cerebral Ischemic Hemispheric Stroke

S.A. Medvedkova

Abstract


In the clinic of nervous diseases of Zaporizhya state medical university, there were carried out complex clinical and instrumental examination and treatment of 85 patients after cerebral ischemic hemispheric on 10, 30, 90 an 180th day of the disease. In the dynamics functional status was determined by means of National Institutes of Health Stroke Scale and functional independence degree — by means of Modified Rankin Scale, Barthel Index. Life quality of the patients was rated by SF-36v2 Health Survey questionnaire. Life quality scores of the patients with cerebral ischemic hemispheric stroke decreased on 10th day of the disease according to all SF-36v2 scales. Most of the scores were in range from 35 to 50, which is 50 % below norm.
We revealed reliable life quality improvement of the patients in dynamics of early rehabilitation period after cerebral ischemic hemispheric stroke according to physical (PCS), mental (MCS) health component and clinical-functional status (p < 0.05). It should be emphasized that the most significant increase of these parameters was observed on 30th day (PCS from 38.56 ± 0.89 to 42.17 ± 0,81 and MCS from 39.91 ± 1.22 to 45.04 ± 0.99) of disease with their further stabilization on 90th day (PCS 44.24 ± 0.84, MCS 46.07 ± 0.94) and 180th day (45.62 ± 0.76, MCS 47.89 ± 0.95) which is apparently correlates with patients’ return to their usual social environment. It is necessary to consider obtained data during scheduling of differentiated rehabilitation activity.


Keywords


ischemic stroke; life quality

References


Віничук С.М., Мохнач В.О. Прогностичні фактори клінічного перебігу і наслідків гострого ішемічного інсульту // Український медичний часопис. — 2008. — № 3. — С. 29-36.

Волошин П.В., Міщенко Т.С., Лекомцева Є.В. Аналіз поширеності та захворюваності на нервові хвороби в Україні // Международный неврологический журнал. — 2006. — № 3(7). — С. 9-13.

Ковальчук В.В., Скоромец А.А. Проблемы и недостатки, перспективы и направления развития реабилитации больных, перенесших инсульт // Медико-социальная экспертиза и реабилитация. — 2008. — № 1. — С. 47-51.

Мищенко Т.С., Овсянникова Н.В., Лебединец В.В. Факторы риска и клинические особенности у больных с различными подтипами ишемического инсульта // Международный неврологический журнал. — 2011. — № 3. — С. 27-32.

Bernhardt J., Thuy M.N., Collier J.M., Legg L.A. Very early versus delayed mobilisation after stroke // Cochrane Database Syst Rev. — 2009. — 1. — CD006187.

Bonita R., Beaglehole R. Stroke Prevention in Poor Countries; Time for Action // Stroke. — 2007. — 38. — 2871-2872.

Cieza A., Stucki G. The International Classification of Functioning Disability and health: its development process and content validity // Eur. J. Phys. Rehabil. Med. — 2007. — 44. — 303-313.

Daniel K., Wolfe C.D.A., Busch M.A., McKevitt C. What are the social consequences of stroke for working-aged adults? A systematic Review // Stroke. — 2009. — 40. — e431-e440.

Geertzen J.H. Moving beyond disability // Prosthet. Ortho. Int. — 2008. — 32(3). — 276-281.

Hobart J.C., Williams L.S., Moran K., Thompson A.J. Quality of life measurement after stroke: uses and abuses of SF-36 // Stroke. — 2002. — 33. — 1348-56.

Hommel M., Trabucco-Miguel S., Joray S., Naegele B., Gonnet N., Jaillard A. Social dysfunctioning after mild to moderate first-ever stroke at vocational age // J. Neurol. Neurosurg. Psychiatry. — 2009. — 80. — 371-375.

Ilse I.B., Feys H., De Wit L., Putman K., De Werdt W. Stroke caregivers’ strain: prevalence and determinants in the first six months after stroke // Disabil. Rehabil. — 2008. — 30(97). — 523-530.

Kwok T., Lo R.S., Wong E., Wai-Kwong T., Mok V., Kai-Sing W. Quality of life of stroke survivors: A 1-year follow up study // Arch. Phys. Med. Rehabil. — 2006. — 87. — 1177-1182.

Lai S.M., Perera S., Duncan P.W., Bode R. Physical and social functioning after stroke: comparison of the Stroke Impact Scale and Short Form-36 // Stroke. — 2003. — 34. — 488-93.

Lord S., McPherson K.M., McNaughton H.K., Rochester L., Weatherall M. How feasible is the attainment of community ambulation after stroke? A pilot randomised controlled trail to evaluate community-based physiotherapy in sub-acute stroke // Clin Rehabil. — 2008. — 22. — 215-225.

Salter K.L., Moses M.B., Foley N.C., Teasell R.W. Health-related quality of life after stroke: what are we measuring? // Int. J. Rehabil. Res. — 2008. — 31(2). — 111-117.

Treger I., Shames J., Giaquinto S., Ring H. Return to work in stroke patients // Disabil. Rehabil. — 2007. — 29(17). — 1397-1403.

Van de Port I.G., Kwakkel G., Lindeman E. Community ambulation in patients with chronic stroke: How is it related to gait speed? // J. Rehabil. Med. — 2007. — 40. — 23-27.

Ware J.E., Kosinski M., Dewey J.E. How to Score Version Two of the SF-36 Health Survey. Lincoln, RI: QualityMetric, Incorporated, 2000.

Wee J., Lysaght R. Factors affecting measures of activities and participation in persons with mobility impairment // Disabil Rehabil. — 2009. — 31(20). — 1633-1642.




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