Factors Determining the Functional Efficiency of Patients After Ischemic Stroke After Neurological Rehabilitation

Abstract

Lucyna Ścisło,1 Magdalena Staszkiewicz,1 Elżbieta Walewska,1 Małgorzata Paplaczyk-Serednicka,1 Iwona Bodys-Cupak,2 Paulina Zawieja3 1Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University, Medical College, Kraków, 31-501, Poland; 2Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, 31-126, Poland; 3Faculty of Health Sciences, Jagiellonian University, Medical College, Kraków, 31-501, PolandCorrespondence: Lucyna Ścisło, Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University, Medical College, 25 M. Kopernik street, Kraków, 31-501, Poland, Email [email protected] Magdalena Staszkiewicz, Department of Clinical Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University, Medical College, 25 M. Kopernik street, Kraków, 31-501, Poland, Email [email protected]: The factors determining the level of functional efficiency in patients after ischemic stroke are: age, sex, physical condition, mental activity before stroke, previous neurological deficits, comorbidities, nutritional status and the course of the stroke.Aim: Assessment of the functional efficiency of patients before and after rehabilitation due to ischemic stroke and determination of the influence of selected factors on the effects of rehabilitation measured by functional efficiency.Material and Methods: The study was conducted in neurological rehabilitation centers among 82 people diagnosed with ischemic stroke. The examination was performed twice: on admission to the ward and after a month of neurological rehabilitation. The diagnostic survey method, the Barthel scale, the NRS 2002 scale were used, and the BMI was calculated.Results: The functional efficiency level of the patients was varied, higher after one month of rehabilitation (p < 0.05). Among the patients who achieved a lower level of functional efficiency, the following factors had a significant influence: underweight and overweight (p = 0.002), risk of malnutrition (p = 0.002), right-sided paresis (p = 0.016), limited physical activity before stroke (p = 0.01) and the later rehabilitation period (p = 0.01). There was no correlation between sociodemographic data and the level of efficiency of patients after a stroke after one month of rehabilitation.Conclusion: The level of functional efficiency after rehabilitation improved in all patients, however, to a different extent depending on the nutritional status and physical activity. Therefore, it is important to to undertake rehabilitation in the shortest possible time.Keywords: ischemic stroke, functional efficiency, Barthel scale

Keywords

• ischemic stroke
• functional efficiency
• barthel scale