Khảo sát mức độ độc lập trong sinh hoạt hàng ngày của người bệnh sau đột quỵ não tại Khoa Đột quỵ, Bệnh viện Đà Nẵng=Investigate independence in activities of daily living of brain stroke patients at Stroke Department, Da Nang hospital

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Tác giả: Đình Hiếu Dương, Thị Hương Lê, Thị Ngọc Trình Nguyễn, Thị Tuyết Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.132-144

Bộ sưu tập: Metadata

ID: 480160

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Mục tiêu: Khảo sát mức độ độc lập trong sinh hoạt hàng ngày và xác định một số yếu tố liên quan của người bệnh sau đột quỵ não. Phương pháp: Nghiên cứu mô tả cắt ngang thực hiện trên 217 người bệnh đột quỵ não tại khoa Đột quỵ, Bệnh viện Đà Nẵng từ tháng 10/2022-04/2023. Bộ công cụ nghiên cứu đánh giá mức độ độc lập trong sinh hoạt hằng ngày 10 chỉ số theo thang điểm Barthel – BI. Kết quả: Phần lớn người bệnh sau đột quỵ não có nhu cầu hỗ trợ chăm sóc với điểm Barthel trung bình là khá thấp (37,6267 ± 35,03984), 62,7% người bệnh phụ thuộc hoàn toàn trong sinh hoạt hằng ngày, trong đó đối với 10 hoạt động hàng ngày, nhu cầu chăm sóc lúc tắm chiếm tỷ lệ cao nhất (74,2%) và thấp nhất là kiểm soát đại tiện (32,3%). Các yếu tố liên quan có ý nghĩa thống kê (p <
0,05) với mức độ độc lập trong sinh hoạt hằng ngày của người bệnh sau đột quỵ não bao gồm: Độ tuổi, nơi cư trú, trình độ học vấn, nghề nghiệp, người tham gia chăm sóc chính, tình trạng hút thuốc lá, thói quen sử dụng rượu bia, và bệnh lý kèm theo. Kết luận: Mức độ độc lập trong sinh hoạt hàng ngày của người bệnh sau đột quỵ khá thấp, tuy nhiên một số người bệnh sau đột quỵ não vẫn có thể độc lập hoàn toàn hoặc chỉ phụ thuộc một phần. Vì vậy, kế hoạch chăm sóc cần được xây dựng phù hợp cho từng đối tượng người bệnh cụ thể.Objective: To survey the level of independence in daily activities and identify some related factors of patients after stroke. Methods: A cross-sectional descriptive study was conducted on 217 stroke patients at the Stroke Department, Da Nang Hospital from October 2022 to April 2023. The research toolkit evaluates the level of independence in daily activities with 10 indicators according to the Barthel - BI scale. Results: The majority of patients after stroke need care support with the average Barthel score being quite low (37.6267 ± 35.03984), and 62.7% of patients are completely dependent on daily activities, of which for 10 daily activities, the care needed for bathing accounts for the highest percentage (74.2%) and the lowestrate for bowel control (32.3%). Factors that are statistically significantly related (p <
0.05) to the level of independence in daily activities of patients after a stroke include: Age, place of residence, education level, occupation occupation, primary care participant, smoking status, alcohol use habits, and comorbidities. Conclusion: The level of independence in daily activities of patients after stroke was quite low, however, some patients after stroke could still be completely independent or only partially dependent. Therefore, care plans need to be developed appropriately for each specific patient.

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