Impact of lack of rehabilitation follow-up care on the functional level and autonomy of vascular hemiplegic patients at Kinshasa University clinics on homecoming
Journal Title: Medical Science and Discovery - Year 2018, Vol 5, Issue 7
Abstract
Objective: To evaluate the clinical and functional profile of vascular hemiplegia patients when deciding on their return home after hospitalization and evaluate its impact on their caregivers. Material and Methods: This prospective descriptive study involved 60 patients. It was devoted to the evaluation, on the one hand of the functional level and the autonomy of the patients at the entrance and the decision of the return home, and on the other hand of the social charge felt by the caregivers of these patients. Results: Out of 60 patients (66.7% of men and 33.3% of women, mean age of 62.93 ± 11.3 years), 93% of patients had a score of autonomy less than 60 at home , with no significant difference between the baseline score and the return to home score (p = 0.22), for an average length of stay of 25 ± 12 days. On the other hand, of 60 caregivers, between 72% and 73% of caregivers had a significant homework load, and this load was significant as function and independence levels were low (p = 0.001). Also, a significant increase in workload was observed at home compared to the hospital (p = 0.000). Conclusion: We have emphasized the importance of an acceptable level of autonomy and multidisciplinary cooperation to allow patients to return to their homes in order to ensure a good home care and reduce the heavy burden of caregivers who have also need a better quality of life.
Authors and Affiliations
Eric Kam, Teddy Bofosa, François Lepira, Agabus Malemba, Huguette Nkongo, Constant Nkiama, Betty Miangindula, Tharcisse Kayembe
Keywords
Related Articles
- EP ID EP520680
- DOI 10.17546/msd.441558
- Views 39
- Downloads 0
Dental sedation by anesthesiologist or dentists: A view from Turkey
Background: Except conscious sedation (with nitrous oxide/oxygen), sedation of dental patient has been applied by anesthesiologists in Turkey. But little is known about Anesthesiology and Reanimation Specialist (ARS)’s a...
Henoch Schönlein Purpura in children: Clinical features and risk factors for renal involvement
Objective: This study aimed to evaluate the clinical and laboratory features of children diagnosed with Henoch Schönlein purpura (HSP), risk factors of renal involvement and their effect on prognosis. Meth...
Diet induced weight loss reduces mean platelet volume in people with obesity
Objectives: To investigate is there a relationship between obesity parameters, mean platelet volume (MPV) and neutrophil lymphocyte ratio (NLR), and to examine is there a change in MPV and NLR level with weight loss.Mate...
Secondary tonsillar hemorrhage requiring surgical intervention: Analysis of 1429 tonsillectomy cases on single surgeon experience
Objective: Determination of risk factors affecting secondary tonsillar hemorrhage of the requiring surgical intervention.Material and Method: 1429 tonsillectomy cases performed with three different dissection technique...
Coronary artery bypass surgery and sexual function
Objectives:To evaluate the influences of coronary artery by-pass surgery(CABS) on sexual function(SF) and the comorbidities on the impact of CABS on SF.Methods:The data of 112 patients who underwent CABS and interviewed...