CHANGES IN FUNCTIONAL INDEPENDENCE OF PATIENTS WITH ACUTE STROKE DURING TREATMENT

Lina Samuolienė, Vida Mockienė

Abstract


Background. Ischemic stroke (IS) is one of the most topical medical and social
problems because of high morbidity and severe residual disability.
The goal of the research was to analyze influencing changes in the independence
of patients with acute stroke during treatment.
Methods included the retrospective research, carried out in September 2015–
November, 2015, using Barthel Index test (BI), National Institute of Health Stroke
Scale (NIHSS) and modified Rankin scale (mRS). The research sample was
104 respondents, 48 of which underwent treatment with intravenous thrombolysis
(IVT), and 56 of them – not. Research findings were processed using statistical
“SPSS 17 for Windows” package. The research was carried out complying with
the ethical principles.
Results. Treatment by intravenous thrombolysis was applied to approximately
half of IS patients. The majority of IS patients were of average severity state by
neurological damage. There neurological state after the thrombolysis improved
the state of 50% of patients on average in seven days. Half of IS patients were
completely dependent before treatment and after the treatment the number of absolutely
dependent patients decreased by 21.3%. The independence of patients
treated by intravenous thrombolysis and non-treated did not vary significantly at
the beginning and the end of the treatment, however, its change was insignificantly
higher for the patients to whom this treatment was applied than for the patients
61
Ligonių, sergančių ūminiu išeminiu galvos smegenų insultu, savarankiškumo kaita gydymo metu
to whom this treatment was not applied. The independence before the treatment
was higher of men than of women, and of the patients under 65 years old than of
older patients. The change of independence was higher for patients under 65 years
old than for the older ones, and there was no significant difference between men
and women.
Conclusions. The treatment by intravenous thrombolysis was applied to
approximately half of the patients. The neurological damage was more severe for those who were 65 years old. After the treatment the state recovered for 9.6% and those were only men, the number of absolutely dependent persons decreased by 21.3%.


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DOI: https://doi.org/10.33607/rmske.v1i14.700

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