Nijolė Šostakienė, Ina Valeckienė
Abstract
Cognition – mental ability, which is necessary in such processes as communication, learning, comprehension, judgment and evaluation, etc. Patients after stroke often confront with cognitive functions‘ impairments. Consequently, when talking about rehabilitative treatment, the question arises, which patients are „suitable“? How to decide, whether the patient is rehabilitative or not? And if he is, how to prove this for his family, who see the situation different from what specialists see. Aim: To assess the impact of an early rehabilitation and cognitive functions for stationary rehabilitative treatment effectiveness of people, who have suffered from stroke. Methods: There were 137 respondents in this research, who are suffering from brain bloodstream disorder: 58 men and 79 women. Age distributed from 32 to 88 years. Average age 70,23years. Two respondents were randomly chosen for case analysis. Age, sex, diagnosis, psychological, emotional state and cognitive funtions evaluation have been taken into acount. The effectiveness of rehabilitation was assessed according to changes of mini mental state examination (MMSE) tests during rehabilitation. There was used retrospective data from stationary treatment ilness forms No. 003/a. The data analysed were from patients, who fall into period of 2015 03 01 – 2015 06 01. The findings of the study: 1. For 26,3 percent of respondents were diagnosed moderate cognitive impairment. It was assigned for 34,5 of men. However the difference was not statistically significant between sex (p = 0,370 < 0,05). 2. Patients‘ cognitive functions got better after early kinesitherapy in first level of rehabilitative: patients‘ „X“ assessment of MMSE results – 5 points, patients‘ „Y“ – 4 points. 3. Patients‘, for which thrombolysis was applied, general somatic state and positive dynamic of cognitive functions were achieved during shorter time-period and general somatic state and cognitive functions, at full period of rehabilitative treatment, got better (MMSE from 15 to 22 points, Barthel index from 60 to 90 points). 4. MMSE dementia screening instrument is important evidence for patients‘ family members about ill people‘s objectively assessed cognitive functions‘ state. 5. There is need for more scientific research to evaluate the effectiveness of rehabilitative treatment, when patients are after thrombolysis and this cognitive functions assessment – „severe cognitive impairment“ and „moderate cognitive impairment“.
Keyword(s): early rehabilitation; rehabilitation efficiency; thrombolytic; biopsychosocial; cognitive functions; stroke.
DOI: 10.5200/sm-hs.2015.128
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