29. CLINICAL FEATURES AND DAILY ACTIVITY DEPENDENCE IN STROKE PATIENTS: A BARTHEL INDEX-BASED STUDY AT HA TINH REHABILITATION HOSPITAL IN 2024
Nội dung chính của bài viết
Tóm tắt
Aims: Stroke is a leading cause of disability worldwide, significantly affecting patients' ability to perform daily activities. In Vietnam, stroke survivors often face prolonged dependence on others for daily care. This study aimed to describe the clinical characteristics and assess the level of dependence in daily activities among stroke patients at Ha Tinh Rehabilitation Hospital.
Methods: A descriptive cross-sectional study was conducted on 117 stroke patients undergoing rehabilitation at Ha Tinh Rehabilitation Hospital from March to September 2024. Patients were assessed using the Barthel Index, which measures independence in 10 basic activities of daily living. Data were collected through medical record reviews, patient observations, and interviews. Statistical analysis was performed using SPSS 25.0, with chi-square tests for differences between proportions.
Results: The average Barthel Index score was 50.44 ± 32.42, indicating moderate dependence. Only 16.2% of patients were fully independent, while 49.6% were completely dependent. Factors such as age, educational level, social support, smoking, and clinical conditions like aphasia and dysphagia were significantly associated with levels of independence (p < 0.05).
Conclusion: The majority of stroke patients at Ha Tinh Rehabilitation Hospital demonstrated a high level of dependence in daily activities. Interventions targeting social support, lifestyle changes, and early rehabilitation may enhance patient independence and improve outcomes.
Chi tiết bài viết
Từ khóa
stroke, Barthel Index, Daily activities, Dependence, Ha Tinh Rehabilitation Hospital
Tài liệu tham khảo
[2] Feigin VL, Brainin M, Norrving B et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. Int J Stroke 2022; 17: 18–29.
[3] Phan HT, Nguyen TH, Watkins C et al. Organisational survey for acute stroke care in Vietnam: Regional Collaboration Programme. Journal of Stroke and Cerebrovascular Diseases 2022; 31: 106792.
[4] Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO Collaborative Study. Bull World Health Organ 1980; 58: 113.
[5] Quinn TJ, Langhorne P, Stott DJ. Barthel index for stroke trials: Development, properties, and application. Stroke 2011; 42: 1146–1151.
[6] Duong DH, Nguyen TNT, Le TH, Phan TT. Investigate independence in activities of daily living of brain stroke patients at Stroke Department, Da Nang hospital. Journal of Nursing Science 2024; 7: 132–144.
[7] Thanh Phong T, Trung Kien N. Evaluating the situation of mobility impairment using Barthel scale and the results of rehabilitation in poststroke patients at An Giang Central Ceneral Hospital in 2020-2021. Cantho Journal of Medicine and Pharmacy 2021;
[8] Phong CP, Thanh TT. Assessing quality of life of patients after stroke. Ho Chi Minh City Journal of Medicine 2013; 17: 152–157.
[9] Mohammed S, Haidar J, Ayele BA, Yifru YM. Post-stroke limitations in daily activities: experience from a tertiary care hospital in Ethiopia. BMC Neurol 2023; 23.
[10] Yang H, Chen Y, Wang J et al. Activities of daily living measurement after ischemic stroke: Rasch analysis of the modified Barthel Index. Medicine 2021; 100: E24926.
[11] Pham Thi Thuy Vu. Factors related to the degree of independence in daily activities of patients with cerebral vascular accident. 2015.
[12] Thu NTT, Lien NTK. The results of occupational therapy in the activities of daily living for cerebral infarction on tent patients. Vietnam Medical Journal 2021; 506: 245–249.
[13] Nguyen Thi Thu H, Cao Thi D, Tran Thi Hong X, To Minh T. Clinical characteristics and level of independent activities in daily living by using Barthel scale of patients with cerebrovascular accident in Thai Binh General Hospital in 2019. Journal of Nursing Science 2020; 03: 77–84.
[14] Ha NTV, Minh P Van. Functional neurological assessment of the patient after stroke by hyperbaric oxygen therapy. Vietnam Medical Journal 2021; 504: 104–108.
[15] Cho KH, Lee JY, Lee KJ, Kang EK. Factors Related to Gait Function in Post-stroke Patients. J Phys Ther Sci 2014; 26: 1941.
[16] Pei L, Zang XY, Wang Y et al. Factors associated with activities of daily living among the disabled elders with stroke. Int J Nurs Sci 2016; 3: 29–34.
[17] Wu S, Wu B, Liu M et al. Stroke in China: advances and challenges in epidemiology, prevention, and management. Lancet Neurol 2019; 18: 394–405.
[18] Quiñones-Ossa GA, Lobo C, Garcia-Ballestas E, Florez WA, Moscote-Salazar LR, Agrawal A. Obesity and Stroke: Does the Paradox Apply for Stroke? Neurointervention 2021; 16: 9–19.
[19] Joseph C, Rhoda A. Activity limitations and factors influencing functional outcome of patients with stroke following rehabilitation at a specialised facility in the Western Cape. Afr Health Sci 2013; 13: 646.
[20] She R, Yan Z, Hao Y et al. Comorbidity in patients with first-ever ischemic stroke: Disease patterns and their associations with cognitive and physical function. Front Aging Neurosci 2022; 14.
[21] Matsuo H, Yoshimura Y, Fujita S, Maeno Y. Incidence of Dysphagia and Its Association With Functional Recovery and 1-Year Mortality in Hospitalized Older Patients With Heart Failure: A Prospective Cohort Study. JPEN J Parenter Enteral Nutr 2021; 45: 372–380.