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Functional Status of Post Stroke Survivors

Original article

Abstrak

Di peringkat global, strok adalah punca utama penyakit kecacatan jangka panjang. Ketidakupayaan di kalangan pesakit strok mempengaruhi aktiviti kehidupan harian mereka. Tujuan terapi pemulihan adalah untuk membantu mangsa-mangsa strok untuk mendapatkan kembali keupayaan berfungsi. Kajian ini bertujuan untuk menentukan hubungan antara tempoh masa strok dengan status keupayaan berfungsi  dalam kalangan pesakit strok di salah sebuah  hospital pengajaran di Kuala Lumpur. Satu kajian keratan rentas dijalankan, melibatkan 109 orang pesakit strok yang menghadiri Klinik Pemulihan dalam tempoh masa empat bulan. Data mengenai tempoh masa  strok diambil daripada rekod  pesakit manakala keupayaan berfungsi dinilai melalui Indeks Barthel Diubahsuai (MBI). Keputusan menunjukkan min umur pesakit  adalah 61 tahun (SD = 13,86, julat: 22-87 tahun), dengan 118 lelaki dan 81 pesakit wanita yang mempunyai tempoh masa dengan  median 12 bulan selepas strok  (julat: 1-79 bulan). Prevalens 123 (63.1%) daripada mangsa strok didapati tidak bergantung dalam aktiviti kehidupan harian mereka. Ujian Chi-kuasa dua menunjukkan terdapat hubungan yang signifikan di antara tempoh masa strok dengan tahap kebergantungan berfungsi, χ2(2, n = 195) = 6,455, p <0.05, phi = 0,182. Pesakit dalam tempoh masa strok daripada 13-24 bulan adalah lebih berdikari (52.1) daripada ≤12 bulan dan ≥ 24 bulan.

Abstract

Globally, stroke is the commonest cause of long-term disability. The residual disabilities among post stroke patients affect their daily living activities. The aim of rehabilitation therapy is to help stroke survivors to gain back their functional ability. The present study aimed to determine the relationship between post stroke duration with functionality status of post-stroke survivals at a teaching hospital in Kuala Lumpur. A cross-sectional study involved one hundred nine five post stroke patients who attended the Rehabilitation Clinic over a 4-month period. The data on  post stroke duration was reveale from patient’s cleckship. Their functional status was assessed with Modified Barthel Index (MBI). Results showed the mean age of participants was 61 years (SD=13.86, range:22-87 years), with 118 males and 81 females  having  a median duration of 12 months post-stroke (range: 1–79 months). The prevalence 123 (63.1%) of stroke survivors are found to be dependent in their daily living activity. A Chi-square test for independence  indicated there was significant relationship between post-stroke duration with levels of functioning, χ2 (2 , n=195) = 6.455, p<0.05,phi = 0.182. Patients in post-stroke duration of 13-24 months were independent (52.1) than ≤ 12 months and ≥ 24 months.