Title FUNKCIONALNI STATUS BOLESNIKA NAKON ISHEMIJSKOG MOŽDANOG UDARA
Title (english) FUNCTIONAL STATUS OF PATIENTS AFTER ISCHEMIC STROKE
Author Oleg Jajić
Mentor Mira Bučuk (mentor)
Committee member Ines Mrakovčić-Šutić (predsjednik povjerenstva)
Committee member Zdenka Barićev-Novaković (član povjerenstva)
Committee member Mira Bučuk (član povjerenstva)
Granter University of Rijeka Faculty of Health Studies (Department of Clinical Sciences 1) Rijeka
Defense date and country 2018-09-19, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Neurology
Abstract Cilj: Utvrditi utjecaj životne dobi na oporavak funkcionalnog statusa bolesnika nakon preboljelog ishemijskog moždanog udara u ranoj fazi rehabilitacije. Utvrditi oporavak funkcionalne neovisnosti nakon rane rehabilitacije i utjecaj visokog tlaka na oporavak bolesnika.
Ispitanici i metode: Retrospektivno istraživanje obuhvatilo je 60 bolesnika koji su liječeni na Klinici za neurologiju Kliničkog bolničkog centra u Rijeci s dijagnozom ishemijskog moždanog udara u razdoblju od 01.01.2017. do 31.12.2017. U radu su korišteni podaci iz medicinske dokumentacije KBC-a Rijeka: dob, spol, komorbiditeti, klasifikacija moždanog udara (ishemijski ili hemoragijski), FIM test (engl. Functional Independence Measure) proveden kod prijema i kod otpusta bolesnika.
Rezultati: Razlika između prijemne i otpusne kategorije FIM indeksa najveća je u kategoriji HIGIJENA i HRANJENJE te ZAHOD, najniži napredak bilježi se u domeni brige za osobne potrebe: MOKRENJE, STOLICA, ali i IZRAŽAVANJE. Postoje razlike u opsegu, odnosno veličini razlike između FIM prijema i FIM otpusta kod relativno starijih i mlađih bolesnika. Mlađi bolesnici postižu veću razliku – odnosno veći napredak – između prijema i otpusta, mjereno FIM indeksom. Obje skupine bolesnika bilježe napredak u FIM parametrima, ali osobe bez hipertenzije bilježe veći i statistički značajan napredak.
Zaključak: Ovo istraživanje je potvrdilo da dob te prisutnost komorbiditeta utječu na FIM parametre kod prijema i otpusta bolesnika. Ranije provedena istraživanja potvrđuju da se tijekom rane rehabilitacije bolesnika s ishemijskim moždanim udarom može postići napredak u FIM parametrima i ukazuju na čimbenike koji utječu na napredak. Među čimbenicima, pored komorbiditeta, važan utjecaj ima dob bolesnika.
Abstract (english) The scope: To define the influence of the patient's age to the recovery of his functional status after he has got over the ischemic brain attack in the early phase of rahabilitation. To define the rehabilitation of functional independence after an early rehabilitation and the influence of high pressure to the patient's rehabilitation.
The examinees and the methods: The retrospective research comprehended 60 patients who were cured in the Clinic for neurology, part of the Clinical hospital center in Rijeka, with the diagnosis of ischemic brain attack in the period from 1st Jan., 2017 to 31st Dec., 2017. During the research there were used the data from the medical documentation of the Clinical hospital center Rijeka: age, sex, additional deseases, the clasification of brain attacts ( ischemic and hemorrhagic ), FIM test carried out at the arrival and the discharge.
Results: The difference between FIM index category at arrival and discharge is the biggest in the category HYGIENE , FEEDING and TOILET, while the lowest progress is registered in the sphere of the care of personal needs: URINATION, STOOLS but also EXPRESSING. There are differences in volume, or in other words, in quantity, between FIM at arrival and FIM at discharge at relatively older and younger patients. Younger patients achieved bigger difference, or in other words – bigger progress between arrival and discharge, measured by FIM index. Both groups of patients show progress in FIN parametres, but the patients without hypertension show bigger and statisticaly significant progress.
Conclusion: This research has confirmed that age and the presence of additional deseases have influence to FIM parametres at patients' arrival and discharge. Former researches confirmed that it is possible to achieve progress in early phase of patient's rehabilitation in the case of ischemic brain attack regarding FIM parametres and indicate factors that influence progress. Among these factors, in addition to additional deseases, patient's age has important influence.
Keywords
Ishemijski moždani udar
FIM
rehabilitacija
čimbenici rizika
dob.
Keywords (english)
Ischemic stroke
FIM
rehabilitation
risk factors
age.
Language croatian
URN:NBN urn:nbn:hr:184:701096
Study programme Title: Graduate university study of Physiotherapy (Biomedicine and Healthcare; clinical medical sciences) Study programme type: university Study level: graduate Academic / professional title: magistar/magistra fizioterapije (magistar/magistra fizioterapije)
Type of resource Text
File origin Born digital
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Terms of use
Created on 2018-10-09 09:28:59