P-2-01-35
EVALUATION OF COGNITIVE AND PSYCHOSOCIAL FUNCTION AND LIFE SATISFACTION IN STROKE PATIENTS
N. Renklitepe, Z. Giiven, N. Ozaras, O. Kayhan
Marmara University School of Medicine Physical Medicine and Rehabilitation
This study was designed to evaluate the cognitive, social and psychological problems experienced by chronic stroke patients using different measurement scales. Fifteen stroke patients with a mean age of 59±10.6 and a stroke duration of 25.4±16 months were compared with a control group consisting of 10 patients (5 female and 5 male) with lumbar spondylosis with a mean age of 65.4±6.8 years. In both patient groups, we performed mental status examination (MMSE) for cognitive functions, Modified Barthel Index for functional status, Beck Depression Inventory and State Trait Anxiety Inventory (STAII) for depression and mood disorders. Quality of life was assessed by the Nothingham Health Profile (NHP). There was no significant difference between the two groups on the MMSE. All patients in the ostcoarthritic group scored 100 total points on the Modified Barthel Index whereas the mean score of the stroke group was 90.2+10.7. The Beck and STAII scores did not differ significantly between the two groups. The sleep component score of the NHP was also not significant. However, the mobility and emotion component scores were found to be highly (p< 0.009; p< 0.002) and social isolation component score very significantly (p<0.01) higher in the stroke group compared to the osteoarthritics. On the other hand, pain and energy component scores were very significantly high in the osteoarthritic group (p<0.02; p< 0.03).
In conclusion, in chronic stroke patients, major problems are observed in the areas of mobility, emotion and social isolation whereas pain and energy levels are not significantly affected.
P-2-01-36
THE PSYCHO-SOCIAL ASPECTS OF POST-STROKE REHABILITATION - AN EXPLORATORY STUDY
Leonard S.W. Li Tina W.Y. Chan, S.W. Hui, Y.Y. Wong (Tung Wah Hospital, The University of Hong Kong, Hong Kong)
Purpose: The study was to explore the psycho-social aspects of the stroke survivors after intensive inpatient rehabilitation and evaluate the need of psycho-social rehabilitation at the community level.
Method: An exploratory and descriptive study was performed on 40 post-stroke survivors. Questionnaires were used to collect information in respect of physical, psychological and social dimensions.
Results: 70% of the subjects were first stroke victims. 72.5% required assistance in daily living activities whilst 27.5% could manage self-care. 72.5% had fair mental health but the remaining 27.5% still expressed worries, anger and helpless 1-2 years post-stroke. Severity of the illness, a poor social support network, lack of cater, imposed retirement, loss of job, dependence state of the patients are found to correlate negatively with the mental health of the stroke survivors. 67.5% were attended by carets whilst 12.5% were receiving supportive services. 72.5% reported that the carer's emotional and physical support were significant to their rehabilitation. Most of the subjects (97.5%) had knowledge of community resources. 65% were interested to form a stroke support group to serve the purpose of education, mutual sharing and support.
Conclusion: This study showed that stroke patients still had significant psychosocial disabilities after returned to community. Social support network were important in the rehabilitation of patients in our population. The formation of support group for stroke survivors/caregivers would be important to achieve the goal of 'total patient care'.
