FUNCTIONAL ACTIVITY OF ELDERLY PATIENTS AFTER STROKE
Introduction. A history of severe neurological disease often has an impact on the patient's future life. This applies to all aspects of a person's life – functional, social, mental, and spiritual. Aim. To perform functional assessment of elderly patients who have suffered a stroke to de...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2025-03-01
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| Series: | Клінічна та профілактична медицина |
| Subjects: | |
| Online Access: | https://cp-medical.com/index.php/journal/article/view/558 |
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| Summary: | Introduction. A history of severe neurological disease often has an impact on the patient's future life. This applies to all aspects of a person's life – functional, social, mental, and spiritual.
Aim. To perform functional assessment of elderly patients who have suffered a stroke to determine the impact of certain demographic factors and clinical manifestations on daily functioning.
Materials and methods. The study was conducted on the basis of the Department of Medical Rehabilitation at the Petrykivka Regional Geriatric Nursing Home a group of 86 post-stroke patients. Functional status was assessed using the Barthel Index (BI), depressive disorders were assessed using the Geriatric Depression Scale (GDS), and higher cognitive functions were assessed using the Mini-Mental State Examination (MMSE). Statistical processing of the results was carried out using Microsoft Excel and STATISTICA version 10.0.
Results. The analysis revealed no statistically significant differences in the functional activity of patients in the first and second assessments of Friedman's ANOVA (N=86, df 1)=0.31; p=0.581. If a similar result was obtained during repeated measurements, the patients were assigned to groups with the same level of functional activity. Age, gender and number of comorbidities statistically significantly (p<0.05) influenced the level of functional status of patients. In contrast, the functional status of the subjects was not affected by place of residence (p>0.05) and marital status (p>0.05). A significant correlation was found between depressive disorders (Spearman's rank 0.437; p<0.05), disorders of higher cognitive functions (Spearman's rank 0.546; p<0.05) and the level of functional activity.
Conclusions. Functional independence after stroke is gradually restored in most elderly patients, although the rate and extent of recovery can vary significantly depending on individual clinical characteristics. In general, men have slightly better functional outcomes than women, which may be related to both biological factors and socio-behavioral aspects. At the same time, the advancing age, the presence of multiple comorbidities, in particular cardiovascular and metabolic pathology, significantly complicate the rehabilitation process and negatively affect the rate of recovery of daily activities. Functional capacity after stroke is closely related to the psychoemotional state of patients: the presence of depressive manifestations, anxiety disorders, as well as cognitive disorders in the form of decreased attention, memory and executive functions, causes a lower level of adaptation and slows down recovery. The scientific literature emphasizes the multifactorial nature of such disorders, which should be taken into account when planning an individualized neurorehabilitation program. |
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| ISSN: | 2616-4868 |