评估工作年龄段中风患者在 Covid-19 大流行期间的行动能力

M. Bosacka, G. Bączyk
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摘要

摘要 目的。早期神经康复对于恢复功能效率和达到最佳独立水平至关重要,尤其是在 COVID-19 大流行期间。本研究旨在评估神经康复科收治的出血性或缺血性脑卒中后劳动年龄患者的功能表现,并评估影响神经康复效果的其他因素。材料和方法研究组包括 89 名入住神经康复科的患者。治疗组的资格标准是年龄在 25-55 岁之间(职业活跃人群),患有出血性或缺血性脑卒中。功能表现评估采用巴特尔指数和九孔钉测试(NHPT)。社会人口学数据来自病历分析。调查在住院第一天和最后一天进行。结果年龄对中风类型有显著影响,据统计,缺血性中风患者的年龄(50± 5 岁)确实大于出血性中风患者(46± 8 岁)。住院时间与患者年龄有关,年龄越大,住院时间越长。评估手部功能的测试表明,研究组患者的手部功能在统计学上有明显改善。结果表明,功能的改善取决于性别。据统计,糖尿病患者的表现较差(Me=28 vs. Me=21)。结论: 1.1.中风后的老年人需要更多时间进行康复治疗。2.糖尿病患者需要更多的康复治疗。3.无论中风类型如何,男性康复时间都应更长。
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Assessment of Mobility in Working Age Stroke Patients during the Covid-19 pandemic
Abstract Aim. Early neurological rehabilitation is essential to regain functional efficiency and achieve an optimal level of independence, especially during the COVID-19 pandemic. The objective of the work was to assess the functional performance of patients of working age after hemorrhagic or ischemic brain stroke admitted to the neurological rehabilitation unit and to assess additional factors aff ecting the eff ectiveness of neurological rehabilitation. Material and methods. The study group included 89 patients admitted to the neurological rehabilitation unit. The eligibility criterion for the treatment group was the age of 25-55 years (professionally active people) and the suff ered hemorrhagic or ischemic brain stroke. The functional performance assessment was performed using the Barthel Index and the NHPT (Nine Hole Peg Test) test. Socio-demographic data were obtained from the analysis of medical records. The survey was conducted on the fi rst and last day of stay. Results. There was a signifi cant impact of age on the type of stroke, with people with an ischemic stroke being indeed statistically older than those with hemorrhagic stroke (50± 5 years), compared to those with hemorrhagic stroke (46± 8 years). It has been established that the time spent in a unit is dependent on the age of the patient, the older the patient the longer the hospitalization lasts. The tests assessing the functionality of the hands have showed statistically signifi cant improvements in the study group. It has been demonstrated that the improvement of functional performance depended on gender. People with diabetes performed statistically worse (Me=28 vs. Me=21). Conclusions. 1. Older people after stroke need more time to rehabilitate. 2. There is a need for more rehabilitation in people with diabetes. 3. Longer rehabilitation for men is advisable regardless of the type of stroke.
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