Balance impairment and associated factors among stroke survivors in public hospitals of Amhara regional state: a multicenter cross-sectional study.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY BMC Neurology Pub Date : 2024-10-14 DOI:10.1186/s12883-024-03885-9
Melese Gobezie, Tesfa Kassa, Jemal Suliman, Getachew Azeze Eriku, Mihret Dejen Takele, Desalegn Anmut Bitew, Sisay Maru Wubante, Alemu Kassaw Kibret
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Abstract

Introduction: Balance impairment is one of the common impairments in patients after stroke. It can lead to depression reduced speed of mobility, dependent on assistive device and reduce quality of life. However, evidence on balance impairment and its risk factors among stroke survivors in Ethiopia was lacking particularly in the study area. Therefore, this study aimed to investigate prevalence and associated factors of balance impairment among stroke survivor's attendee at an outpatient clinic in Amara regional state comprehensive specialized hospital.

Methods: An institutional based cross-sectional study was conducted from April1-June 30, 2022. A total of 400 participants were selected using the systematic random sampling technique. Standard Berg balance scale tool and semi-structure questionnaire was used. Multicollinearity and model fitness were checked. Variables with a p-value of less than 0.25 in the Bivariable regression were entered into a multivariable logistic regression and p value < 0.05 was used as cutoff point for significant variables.

Result: The prevalence of balance impairment was 51.5% (95% CI (46.58, 56.39). Being depressed (AOR = 12.25:95% CI (4.727, 31.779), using walking aids (AOR = 8.76:95%CI3.469, 22.117)), abnormal speed (AOR = 6.73:95%CI (2.671, 16.977)), did not have physiotherapy treatment (AOR = 3.96:95%CI (1.483, 10.586), and unmarried (AOR = 2.71, 95% CI = 1.061, 6.903) were significantly associated with balance impairment.

Conclusion and recommendation: The prevalence of balance impairment in the study was high. Being depressed, use walking aids, did not have physiotherapy treatment, abnormal speed of mobility, and unmarried were significantly associated factors. Therefore; it is better to give greater emphasis for those factors.

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阿姆哈拉州公立医院中风幸存者的平衡障碍及相关因素:一项多中心横断面研究。
导言平衡障碍是中风后患者常见的障碍之一。它会导致抑郁,降低行动速度,依赖辅助设备,降低生活质量。然而,埃塞俄比亚缺乏有关中风幸存者平衡障碍及其风险因素的证据,尤其是在研究地区。因此,本研究旨在调查在阿马拉地区州立综合专科医院门诊就诊的中风幸存者中平衡障碍的患病率和相关因素:方法:2022 年 4 月 1 日至 6 月 30 日进行了一项基于机构的横断面研究。采用系统随机抽样技术共抽取了 400 名参与者。采用标准伯格平衡量表工具和半结构式问卷。对多重共线性和模型适配性进行了检查。将双变量回归中 p 值小于 0.25 的变量输入多变量逻辑回归,并得出 p 值结果:平衡障碍的患病率为 51.5%(95% CI(46.58, 56.39))。抑郁(AOR = 12.25:95%CI (4.727, 31.779))、使用助行器(AOR = 8.76:95%CI3.469, 22.117))、速度异常(AOR = 6.73:95%CI (2.671, 16.977))、未接受物理治疗(AOR = 3.96:95%CI(1.483,10.586)、未婚(AOR = 2.71,95%CI = 1.061,6.903)与平衡障碍显著相关:本研究中平衡障碍的发生率很高。抑郁、使用助行器、未接受物理治疗、行动速度异常和未婚是显著相关的因素。因此,最好更加重视这些因素。
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来源期刊
BMC Neurology
BMC Neurology 医学-临床神经学
CiteScore
4.20
自引率
0.00%
发文量
428
审稿时长
3-8 weeks
期刊介绍: BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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