The Effect of Early Intensive Neurological Treatment on the Prognosis of Patients’ Return to Full Functional Capacity after Stroke
DOI:
https://doi.org/10.15225/PNN.2015.4.1.2Keywords
stroke, functional capacity, prognosis regarding patientsAbstract
Introduction. Recent decades have brought a dramatic change in the approach to the assessment of treatment results and the prognosis regarding future health condition in diseases of neurological background. It is getting an increasingly more common practice in research on chronic neurological diseases effects to depart from the principle of an exclusively biological assessment of human health, instead a more holistic approach has been adopted where particular attention is drawn to patient’s emotional experience, his well-being as well as to the ability to function in everyday life.
Aim. The analysis of the effect of early intensive neurological treatment on the prognosis of patients’ return to full functional capacity after stroke.
Material and Methods. The research was carried out in the Neurological Department Independent Public Hospital no. 4 (IPH 4) in Lublin on a randomly selected group of one hundred patients, who were characterised by the type of stroke, socio-demographic characteristics (gender, age, place of residence, marital status, education) as well as by coexisting diseases. The level of patients’ functional capacity after completion of intensive neurological treatment was assessed by means of the FIM Scale. Progression of functional capacity during the period of the patients’ stay in a stroke unit was measured based on the Scandinavian Stroke Scale (SSS).
Results. The research results indicate the high efficiency of a professional medical approach in the acute period of vascular disease of the brain. Patients leaving the stroke unit were on the right path to return to active life from the period preceding the illness. Less than half of respondents (42%) after the first stage of treatment regained full functional capacity. The least certain prognosis of the first stage of treatment occurs in the case of ischemic stroke. In all patients there was observed a visible increase in functional capacity in the course of treatment.
Conclusions.
1. After a transient ischemic attack (TIA) patients almost always (91.67%) recover the full functional capability after the first stage of treatment.
2. There was a very large improvement in the long term capacity index in the group of patients after hemorrhagic stroke.
3. In all patients, the neurological intensive treatment contributed to a clear improvement in the prognosis of the forecast regarding further improvement of functional capacity. (JNNN 2015;4(1):13–18)
References
Tobiasz-Adamczyk B. Wybrane elementy socjologii zdrowia i choroby. Collegium Medicum UJ, Kraków 1995.
Jasik J., Mróz A. Jakość życia i sposób funkcjonowania osób niepełnosprawnych w szpitalu a zarządzanie informacją. W: Lewandowski J., Lecewicz-Bartoszewska J., Sekieta M. (Red.), Ergonomia niepełnosprawnym w przyszłości. Wydaw. Politech. Łódzkiej, Łódź 2003;232–239.
Bugajska B. Samodzielność w starości. Perspektywa psychopedagogiczna. Materiały konferencyjne. PTG, Warszawa 2004;217–225.
Przysada G., Kwolek A., Mazur A. Wpływ wybranych czynników na efekty rehabilitacji u chorych po udarze mózgu. Rehabilitacja Medyczna. 2007;3:29–38.
Bonita R. Epidemiology of stroke. Lancet. 1992;339:342–344.
Kaste M., Fogelholm R., Rissanen A. Economicburden of stroke and the evaluation of newtherapies. Public Health. 1998;112:103–112.
Kozakiewicz-Badowska A., Bogdanowska-Charkiewicz D., Chazan R. Patofizjologia człowieka. Wydawnictwo Lekarskie PZWL, Warszawa 2013.
Hachinski V., Hachinski L. Udar mózgu, przyczyny, postępowanie, zapobieganie. Bajer-Wozltbild Media 2006.
Członkowska A., Mendel T. Udary mózgu — diagnostyka i leczenie. Standardy Medyczne. 2005.
Hellmann A., Kaźmierski R. Zastosowanie skal klinimetrycznych w profilaktyce, diagnostyce oraz prognozowaniu przebiegu udaru mózgu. Neuroskop. 2009;11:120–143.
Opara J. Klinimatria w udarach mózgu. Akademia Wychowania Fizycznego, Katowice 2005.
Kwolek A. Postępy w leczeniu i rehabilitacji osób po udarze niedokrwiennym mózgu. Rehab. Med. 2002;6(1):9–21.
Laidler P. Rehabilitacja po udarze mózgu. PZWL, Warszawa 1996.
Opara J. Możliwości obiektywnej oceny wyników leczenia i rehabilitacji chorych po udarze mózgowym. Polski Merkuriusz Lek. 1999;36(6):336–339.
Downloads
Published
How to Cite
Issue
Section
License
![Creative Commons License](http://i.creativecommons.org/l/by-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Stats
Number of views and downloads: 126
Number of citations: 0