ABSTRACT
Introducción: la hemiplejía como consecuencia de un ictus constituye una importante causa de discapacidad. La continuidad y calidad en el proceso rehabilitador supone mejores perspectivas en el pronóstico de los pacientes. Objetivo: evaluar el grado de discapacidad en los pacientes hemipléjicos del área de salud del Policlínico Docente Universitario del Cerro. Métodos: estudio descriptivo, transversal en los pacientes que acudieron consecutivamente al área de rehabilitación del citado policlínico, desde septiembre de 2009 hasta julio de 2011. La muestra estuvo constituida por 124 hemipléjicos por enfermedad cerebrovascular mayores de 15 años, los cuales fueron evaluados con la Escala de Discapacidad de Rosetón. Se excluyeron los enfermos con afasia sensorial o mixta y aquellos que se negaron a participar. Resultados: en 84 (67,8 porciento) pacientes se encontró independencia para la orientación y predominó la semidependencia para el desplazamiento y las necesidades físicas. Para la higiene personal, 48 (38,7 porciento) pacientes resultaron ser dependientes. La falta de motivación para ocupar el tiempo libre se encontró en 92 (74,2 porciento) pacientes, casi siempre por dificultades en la convivencia y en las relaciones familiares. Conclusiones: el grado de discapacidad de los pacientes hemipléjicos evaluados viene dado por la semidependencia en el desplazamiento y las necesidades físicas y la dependencia para el autocuidado. Las dificultades en la convivencia y las relaciones familiares interfieren en la motivación del paciente para ocupar el tiempo libre
Introduction: hemiplegia is an important cause of disability as a result of a stroke. The persistence and quality of the rehabilitative process lead to better results in the patient prognosis. Objective: to evaluate the extent of disability in hemiplegic patients from the health area under Cerro university teaching polyclinics. Methods: a cross-sectional and descriptive study was conducted in hemiplegic patients who regularly went to the rehabilitation service of Cerro polyclinics from September 2009 to July 2011. The sample consisted of one hundred and twenty four over 15 years-old hemiplegic patients due to cerebrovascular disease, who were evaluated according to the Rosseton's disability scale. Those patients with mixed or sensory aphasia and those who refused to participate were excluded. Results: of the participants, 84 (67.8 percent) patients were independent for orientation whereas semi-dependence for movement and physical needs prevailed. For personal hygiene, 48 (38.7 percent) patients were dependent. Ninety two (74.2percent) patients did not feel motivated to spend their leisure time in doing any activity, basically because of difficulties in living together with their relatives. Conclusions: the extent of disability of evaluated hemiplegic patients is caused by their partial dependence in terms of movement, and physical needs and by their dependence for self-care. Difficulties in coexistence and family relationships interfere with the motivation of the patients to spend their leisure time
Subject(s)
Humans , Male , Female , Stroke/complications , Stroke/rehabilitation , Health of the Disabled , Hemiplegia/epidemiology , Hemiplegia/psychology , Hemiplegia/rehabilitation , Statistics on Sequelae and Disability , Cross-Sectional Studies , Epidemiology, DescriptiveABSTRACT
Hemiplegia / Hemiparesis is a common complication of CNS diseases. This is a retrospective study in which we collected 47 patients who were admitted with different neurological disorders in Emam Khomeini hospital, Tabriz, Iran. Of the 47 patients, 31 [66%] were miles and 16 [34%] females. Hemiparesis was found in 9 [19%] including 7 males and 2 females. The age of patients varied between 5 and 71 years. The different neurological disorders diagnosed in these 47 patients included multiple sclerosis [7 cases], CNS tumors [4 cases], epilepsy, including status. epilepticus, [14 cases], encephalitis [9 cases], Hypokalemic paralysis [7 cases], single seizure [4 cases] and CNS trauma [2 cases]. All the cases with tumor [4] had hemiparasis, while 3 out of 7 cases of M.S. and 2 of 9 cases of encephilitis had hemiparesis. All patients who presented with hemiparesis due to brain tumors and multiple sclerosis were male. Both patients with hemiparesis due to encephalitis were females. None of the patients with epilepsy, status epilepticus, hypokalemic paralysis and CNS trauma had hemiplegia / hemiparesis. We conclude that a significant percentage of patients with hemiplegia / hemipares have non=vascular cause which should be carefully investigated for proper management