SciELO - Scientific Electronic Library Online

 
vol.102 número6Early outcomes of thrombolysis for acute ischaemic stroke in a South African tertiary care centreTwelve-month outcomes of patients admitted to the acute general medical service at Groote Schuur Hospital índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

    Links relacionados

    • Em processo de indexaçãoCitado por Google
    • Em processo de indexaçãoSimilares em Google

    Bookmark

    SAMJ: South African Medical Journal

    versão impressa ISSN 0256-9574

    Resumo

    ROUILLARD, Susan; DE WEERDT, Willy; DE WIT, Liesbet  e  JELSMA, Jennifer. Functioning at 6 months post stroke following discharge from inpatient rehabilitation. SAMJ, S. Afr. med. j. [online]. 2012, vol.102, n.6, pp. 545-548. ISSN 0256-9574.

    OBJECTIVES: To determine activity limitations, participation restrictions, health-related quality of life and caregiver strain in community-dwelling stroke survivors discharged from an intensive inpatient rehabilitation programme at 6 months post stroke. METHODS: Fifty-one consecutive stroke patients admitted to a Western Cape rehabilitation centre were included. Community-dwelling participants (N=46) at 6 months post stroke were assessed using the Modified Rankin Scale (MRS), Barthel index (BI), Nottingham extended activities of daily living (NEADL) scale, Euroqol (EQ-5D) instrument and caregiver strain index (CSI). RESULTS: Most participants (73.9%) were independent in activities of daily living or had minimal disability (BI 75 - 100). However, according to the NEADL, many participants were not independent in housework (60.9%), food preparation (52.2%), shopping (80.4%) and public transport use (65.2%), implying the need for caregiver assistance. According to the MRS, 29% of participants were severely disabled, requiring caregiver assistance for basic needs, and 20% could not be left alone. Feelings of anxiety or depression were felt in 50% of participants and 59% reported pain or discomfort, according to the EQ-5D. High levels of caregiver strain were reported in 56% of caregivers (CSI). Follow-up after discharge was reported in few participants. CONCLUSIONS: Consideration should be given to support for stroke survivors and caregivers after discharge and whether targeted programmes can improve specific aspects of functioning, such as community mobility.

            · texto em Inglês     · pdf em Inglês