ĐÁNH GIÁ KẾT QUẢ HỒI PHỤC CHỨC NĂNG VẬN ĐỘNG CHO NGƯỜI BỆNH ĐỘT QUỴ NÃO TẠI BỆNH VIỆN ĐIỀU DƯỠNG PHỤC HỒI CHỨC NĂNG TRUNG ƯƠNG NĂM 2023

Abstract

Introduction: Stroke has a high incidence in Vietnam, causing severe disability affecting the ability to work and quality of life of patients. Rehabilitation is the optimal solution for helping patients to be independent and improve their quality of life. Objective: Evaluate the results of rehabilitation for patients with stroke at the National Rehabilitation Hospital in 2023.  Subjects and methods: Study on 31 patients with stroke who admited to National Rehabilitation Hospital for treatment and rehabilitation. Retrospective descriptive method, comparing before and after treatment, measuring by using the Modified Barthel Index (MBI) and Modified Rankin Scales (MRS). Rehabilitation interventions include: physical therapy, occupational therapy, speech therapy, rehabilitation of swallowing disorders, and nutritional care. Results: After rehabilitation, the average Rankin score decreased to 2.84 ± 0.820 (X̅ ± SD); the average Barthel score increased to 62.90 ± 25.974 (X̅ ± SD). The rate of patients with severe disabilities decreased from 16.1% to 6.5%, mild disabilities decreased from 45.2% to 19.4%. The comparison before and after was statistically significant with P < 0.001. The number of cases of complete dependence decreased from 38.7% to 16.1%, highly dependent decreased from 45.2% to 29.0%, and completely independent increased from 0% to 25.9%. The comparison before and after was statistically significant with P < 0.001. There was a correlation between disability status (according to MRS) and recovery of daily living activities (according to MBI), with r = 0.2; P = 0.00. Regression equation y = 4.96 – 0.19x. Conclusion: Rehabilitation improves disability status and independence in daily living activities of patients after stroke.