Predictive factors of functional independence in basic activities of daily living during hospitalization and after discharge of stroke patients

被引:5
作者
Melo, Luciana Protasio [1 ]
Oliveira, Debora Carvalho [1 ]
Dantas, Ana Amalia Torres Souza Gandour [1 ]
Silva Junior, Renan Alves [2 ]
Ribeiro, Tatiana Souza [1 ]
Campos, Tania Fernandes [1 ]
机构
[1] Univ Fed Rio Grande do Norte, Lab Intervencao & Analise Movimento Humano, Dept Fisioterapia, BR-3000 Natal, RN, Brazil
[2] Fac Integradas Patos FIP, Dept Fisioterapia, Patos de Minas, Brazil
关键词
Stroke; physical disability; functional independence; rehabilitation;
D O I
10.1080/02699052.2020.1861649
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: The aim of this study was to identify the predictive factors of functional independence in the basic activities of daily living during hospitalization, on the 10th and 28th day after stroke. Methods: A total of 433 patients (204 men and 229 women) took part. Functional independence data were collected using the Step 1 from an instrument called Stepwise. Analysis was conducted by logistic regression. Results: Due to the OR values below 1.0 we can verify that the age of 59 years or less and the presence of physiotherapy in the hospital were protective factors of functional independence. Other predictive factors were the number of stroke risk factors (bathing: OR = 0.4; p = .005, transfer: OR = 0.487; p = .025), the amount of medication used before stroke (bathing: OR = 1.7; p = .013), sex (grooming: OR = 1.6; p = .026); type of stroke (continence: OR = 2.2; p = .003-10th day; OR = 1.9; p = .013-28th day), previous strokes (eating: OR = 0.5; p = .036). Conclusions: According to the results, the risk of impaired functional independence decreased in bathing and eating and increased for dressing, grooming and transfer during clinical recovery suggesting the need for greater therapeutic intervention in different basic activities of daily living.
引用
收藏
页码:26 / 31
页数:6
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