Assessment of Utilization of Rehabilitation Services among Stroke Survivors
Assessment of Utilization of Rehabilitation Services among Stroke Survivors
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DOI：
10.4103/jnrp.jnrp_25_18
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发表时间：
2018-10-01
影响因子：
1.4
通讯作者：
Dhandapani, S. S.
中科院分区：
文献类型：
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作者：
Mahak, Chandel;Shashi;Dhandapani, S. S.
背景：康复可能是许多卒中幸存者最重要的恢复阶段之一。本研究的目的是评估脑卒中幸存者对康复服务的利用情况，以及影响脑卒中幸存者不利用康复服务的因素。材料和方法：本研究在印度一家三级医院的神经科门诊部进行。这是一项描述性研究。选择符合纳入和排除标准的脑卒中幸存者共55例。采用自结构康复工具收集数据。结果：数据分析采用描述性统计和推断性统计。大多数患者包括70.9%的男性和29.1%的女性。在参与者中，70.90%的人知道康复，67%的人正在利用康复服务，而33%的人没有利用康复服务。在目前的研究中，发现了不利用康复服务的某些原因。有83.3%的参与者缺乏对康复服务的认识，61.1%的参与者没有康复服务。只有45.5%的农村居民利用康复服务，而城市居民和郊区居民的这一比例分别为81.2%和83.23%。结论：康复治疗至关重要。偏瘫、日常生活活动困难、社交活动困难和推理困难是中风患者出院后最常见的问题。印度卒中人群中患者对康复服务缺乏认识和利用。因此，卫生工作者在教育、激励和确保农村居民的康复服务方面发挥着巨大作用。
Background: Rehabilitation is probably one of the most important phases of recovery for many stroke survivors. The current study was conducted with the objective to assess the utilization of rehabilitation services and factors affecting nonutilization of rehabilitation services among the stroke survivors. Materials and Methods: The current study was carried out in the Neuro Outpatient Department of a tertiary care hospital in India. It was a descriptive study. Consecutive 55 stroke survivors who had met the inclusion and exclusion criteria were recruited in this study. Self-structured rehabilitation tool was used to collect the data. Results: Data were analyzed using the descriptive and inferential statistics. Majority of the patients comprised 70.9% of males and 29.1% of females. Among participants, 70.90% were aware about rehabilitation, 67% were utilizing rehabilitation services, whereas 33% were not utilizing rehabilitation services. In the current study, certain reasons were found behind not utilizing rehabilitation services. There were 83.3% of participants who had lack of awareness about rehabilitation services and 61.1% of participants who had no availability of rehabilitation services. Only 45.5% of rural inhabitants were utilizing rehabilitation services as compared to 81.2% of urban inhabitants and 83.23% of suburban inhabitants. Conclusion: Rehabilitation is of utmost importance. Hemiparesis, difficulty in performing activity of daily living, difficulty in performing social activities, and difficulty in reasoning were the most common problems faced by people suffering stroke after discharge from the hospital. There was lack of awareness and utilization of rehabilitation services by patients among Indian stroke population. Hence, health workers have an immense role in educating, motivating, and ensuring that rehabilitation services in rural inhabitants.