Functional Status of Post Stroke Survivors
Post Stroke Functional Status
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.
Keywords :
Activities of Daily Living,
functional status,
mbi,
post-stroke disability,
rehabilition therapy,
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.
Kata Kunci :
aktiviti kehidupan harian,
kehilangan keupayaan selepas strok,
mbi,
pemulihan terapi,
taraf keupayaan berdikari,
Correspondance Address
Bala Krishnian R.Muniandy, Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91455495 Fax: +60391456577 Email: blrmsh@yahoo.com