ĐÁNH GIÁ MỨC ĐỘ ĐỘC LẬP TRONG SINH HOẠT HẰNG NGÀY Ở BỆNH NHÂN LIỆT HAI CHI DƯỚI DO TỔN THƯƠNG TỦY SỐNG TẠI BỆNH VIỆN ĐIỀU DƯỠNG PHỤC HỒI CHỨC NĂNG TRUNG ƯƠNG NĂM 2019 – 2020

Abstract

Introduction: Spinal cord injury is the most serious neurological lesion, results in motor and/or sensory deficits, and multiple function disorders. Rehabilitation is very importance task to help the patient overcome their dificult condition due to physical impairment and independence in daily living activities. Objectives: To evaluate the independence of daily living activities in paraplegic patients due to spinal cord injury at National Rehabilitation Hospital. Subjects: There 31 patients were diagnosed with paraplegia due to spinal cord injury and received rehabilitation service at National Rehabilitation Hospital period 2019-2020. Method: Cross-sectional, retrospective, descriptive study; evaluate at the admission and discharge. Classification of Spinal Injury based on American Spinal Cord Injury Association (ASIA) impairment scale; evaluation the independence of daily living activities based on Modified Barthel Index. Results: Men are 1.2 times more affected than women, the age group from 20-49 accounts for 57.2%; 12 patients (accounted for 38.7%) complete spinal cord injury ASIA grade A without neurological recovery, 12 patients recovered from ASIA grade C to grade D (38.7%). After rehabilitation: The number of patients needing care assistance is 01 (3.2%), needing assistance in wheelchair are 08 (25.8%), independent in wheelchair are 06 (19.4%), needing walking assistance are 14 (45.2%) and fully independent are 02 (6.5%); The Modified Barthel index change after received rehabilitation service was statistically significant with p < 0.001, there was a moderate correlation between the grade of spinal cord injury and the independence in daily living activities according to the improved of Modified Barthel Index.