TÌNH HÌNH SUY GIẢM VẬN ĐỘNG, MỨC ĐỘ PHỤ THUỘC THEO THANG ĐIỂM BARTHEL VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN SAU NHỒI MÁU NÃO

Abstract

Background: In Vietnam, cerebral infarction (cerebral infarction-CI) can cause death quickly but often leaves behind disabling sequelae, creating a burden for patients and their families. Many medical literature and studies have recorded a very high level of motor impairment due to cerebral infarction in Vietnam, but assessment of the level of dependence of patients after CI as well as related factors has not been widely recorded. Objectives: To evaluate the motor impairment, dependence level according to the Barthel scale and some related factors in patients after CI at Ca Mau Traditional Medicine Hospital - Rehabilitation in 2023. Materials and methods: Cross-sectional descriptive study on 88 post-CI patients with motor impairment treated at Ca Mau Traditional Medicine Hospital - Rehabilitation in 2023. Results: The average age in the study was 62,3±10,1 year old, the age group ≥60 dominated 69,3%. Females outnumber males with a female/male ratio of 1,3. The prevalence rates of hypertension and diabetes were 65,9% and 6,8%, and 26.97%, respectively. The proportion of patients with left side paralysis is higher than the right side (51% compared to 49%). Assessing movement according to the Barthel scale, most patients are less dependent with 55 patients (62,5%). On the other hand, the study has not recorded a relationship between factors (age, gender, occupation, time to hospital and side of paralysis) and the level of dependence according to the Barthel scale (p>0,005). Conclusions: The Barthel scale is still an important scale in predicting the level of dependence of patients after MI. In addition, larger studies with more advanced designs are needed to evaluate objectively.