NHU CẦU CHĂM SÓC VÀ MỨC ĐỘ ĐỘC LẬP TRONG SINH HOẠT HẰNG NGÀY CỦA NGƯỜI BỆNH ĐỘT QUỴ NÃO TẠI BỆNH VIỆN THANH NHÀN NĂM 2022

Abstract

Objectives: To describe care needs and degree of independence in daily living activities and to identify some related factors of stroke patients at Thanh Nhan Hospital in 2022. Methodology: A cross-sectional descriptive study performed on 384 stroke patients at discharge at Thanh Nhan hospital from September to December 2022. Results: At discharge, 90,9% of patients needed care (at least one among seven groups of care activities), in which the highest need of care was prevention and caring for ulcers (80,7%), and the lowest requirement of care was the defecation care (31,3%). Need of care for nutrition, respiration, posture, muscular skeleton, and urination ranged from 72,4% to 79,4%. 76% of patients were dependent, and the degree of complete dependence was 13%. The statistically significant factors related to the degree of independence in daily living activities included: residency, number of strokes, time-length of stroke, dyslipidemia history, smoking habit, and muscle strength of arm and leg (p<0.05). Conclusions: Patients demand a lot of care from others since stroke has many aftereffects. In order to improve the effectiveness of counseling and care to help patients recover quickly and reintegrate into the community, it is necessary to assess the patient's care needs and level of independence in daily living activities and make a reasonable care plan for each specific case not only during the hospitalization but also at discharge.