BibTex RIS Kaynak Göster

Effect of Age and Gender on Functional Disability in Stroke Patients

Yıl 2007, Cilt: 14 Sayı: 2, 91 - 94, 01.04.2007

Öz

Objective: This study was planned with the aim of searching the relation between functional disability and age and gender in cases at three months following stroke. Material Method: As a collecting device a questionnaire form developed by researcher was used to obtain information about the patients' age, gender, marital status, education, job, comorbidity, stroke type, localization etc. Functional evaluations of stroke cases were performed by functional independence measure (FIM). Results: No statistical difference was found between the age groups according to FIM cognitive elevation, lesion side, lesion type and gender of the cases (p>0,05).There was difference between age groups in terms of education (p=0.01), FIM motor and FIM total (p=0,02), evaluations. There was no difference betwen the genders in terms of age, lesion side, lesion type and FIM cognitive (p>0.05). Between the genders there was difference in terms of education (p=0.00), FIM motor (p=0.04) and FIM total (p=0.01). There was a significant relation between FIM total (r=-0,276, p=0.02) and FIM motor (r=-0,289, p=0.01) evaluations and age. Conclusion: Functional disability in female stroke patients and older age are prominent. Key words: Stroke, Age, Gender, Functional disability

Kaynakça

  • Special report from the National Institute of Neurological Disorders and Stroke. Classification of cerebrovascular diseases III. Stroke 1990; 21:637-76.
  • Aho K, Harmsen S, Hataon S, Marquardsen J, Smirnow VE. Cerebrovascular disease in the community:results of a WHO collaborative study. Bull World Health Organ 1980; 58:113-30.
  • Feigin VL. Stroke in developing countries: can the epidemic be stopped and outcomes improved? Lancet Neurol 2007; 6:94-7.
  • Kong KH, Chua KSG. Clinical Characteristics and Functional Outcome of Stroke Patients 75 Years Old and Older. Arch Phys Med Rehabil 1998; 79: 1535-9.
  • Shen JJ, Washington EL. Disparities in outcomes among patients with stroke associated with insurance status. Stroke 2007; 18:59-63.
  • Heineman AW, Roth EJ, Cichowski K, et al. Multivariate analysis of improvement in outcome following stroke rehabilitation. Arch Neurol 1987; 44: 1167-72.
  • Macciocicchi SN, Diamond PT, Alves WM, Mertz Tracie. Ischemic Stroke: Relation of age, lesion localization, and initial neurologic deficit to functional outcome. Arch Phys Med Rehabil 1998; 79: 1255-57.
  • Alexander MP. Stroke rehabilitation outcome. A potential use of predictive variables to establish levels of care. Stroke 1994; 25: 128-34.
  • Reddy PM, Reddy V. After a stroke: Strategies to restore functional and prevent complications. Geriatrics September 1997; 52 (9): 59-75.
  • Shah S, Vanclay F, Cooper B. Predicting discharge status at commencement of stroke rehabilitation. Stroke 1989; 20: 76669.
  • Bagg S, Pombo AP, Hopman W. Effect of age on functional outcomes after stroke rehabilitation. Stroke 2002; 33: 179-85.
  • Nakayama H, Jorgensen HS, Raaschou HO, Olsen TS. The influence of age on stroke outcome. The Copenhagen stroke study. Stroke 1994; 25: 808-13.
  • Petrilli S, Durufle A, Nicolas B, Pinel JF. Hemiplegia and return to domicile. Ann Readapt Med Phys 2002; 45:69-76.
  • Gialanella B. Motor function and functional capacity in hemiplegia with global aphasia after rehabilitation. Clin Ter 2001; 152:291-7.
  • Chen L, Mu R, Li J. Analysis on relative factors of influencing limb functional recovery in the patient of hemiplegia. Zhongguo Zhen Jiu 2006; 26: 778-80.
  • Wade DT, Hewer RL, Wood VA. Stroke; The influence of age upon outcome. Age Aging 1984; 13: 357-62.
  • Hachisuka K, Tsutsui Y, Furusawa K, Ogata H. Gender differences in disability and lifestyle among community-dwelling elderly stroke patients in Kitakyushu, Japan. Arch Phys Med Rehabil 1998; 79: 998-1002.
  • Wyller TB, Sodring KM, Sveen U, Ljunggren AE, Bautz-Holter E. Are there gender differences in functional outcome after stroke? Clin Rehabil 1997;11(2):171-9.
  • Ohwaki K, Hashimoto H, Sato M, Tokuda H. Gender and family composition related to discharge destination and length of hospital stay after acute stroke. Tohoku J Exp Med 2005; 207:325-32.
  • Glader EL, Stegmayr B, Norrving B, Terent A. Sex differences in management and outcome after stroke: a Swedish national perspective. Stroke 2003; 34:1970-5.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B. Adaptation of the functional independence measure for use in Turkey. Clinical Rehabilitation 2001;15:311-8.
  • Kalra L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke 1994; 25: 821-5.
  • Sharma JS, Fletcher S, Vassalo M. Strokes in the elderly. Higher acute and 3-month mortality. An explanation. Cerebrovascular Diseases 1999; 9: 29-32.
  • Kelly P, Furie KL, Shafqat S, Rallis N. Functional recovery folloving rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil 2003; 84: 968-72.

İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi

Yıl 2007, Cilt: 14 Sayı: 2, 91 - 94, 01.04.2007

Öz

Amaç: İnme sonrası üçüncü ayda olan olgularda, yaş ve cinsiyet ile fonksiyonel yetersizlik arasındaki ilişkiyi araştırmak amacı ile çalışma planlanmıştır. Gereç ve Yöntem: Veri toplama aracı olarak; araştırmacı tarafından geliştirilen ve hastanın yaşı, cinsiyeti, medeni durumu, eğitimi, mesleği, dahili hastalıkları, inme tipi, lokalizasyonu vb. bilgileri almak amacıyla oluşturulan bir anket formu kullanılmıştır. İnme olgularının, fonksiyonel değerlendirmeleri, fonksiyonel bağımsızlık ölçeği (FIM) ile yapılmıştır. Bulgular: Olguların, cinsiyet, lezyon tipi, lezyon tarafı ve FIM kognitife göre, yaş grupları arasında istatistiksel açıdan fark bulunmamıştır (p>0,05). Yaş grupları arasında, eğitim (p=0,01), FIM motor ve FIM total (p=0,02) değerlendirmeleri açısından fark bulunmuştur. Yaş, lezyon tarafı, lezyon tipi ve FIM kognitif açısından cinsiyetler arasında fark bulunmamıştır (p>0,05). Cinsiyetler arasında, eğitim (p=0,00), FIM motor (p=0,04) ve FIM total (p=0,01) değerlendirmeleri açısından fark bulunmuştur. Yaş ve FIM motor (r=-0,289, p=0,01) , FIM total (r=-0,276, p=0,02) değerlendirmeleri arasında anlamlı bir ilişki bulunmuştur. Sonuç: İleri yaşlarda ve bayan inme hastalarında fonksiyonel yetersizlik daha fazladır. Anahtar kelimeler: İnme, Yaş, Cinsiyet, Fonksiyonel yetersizlik

Kaynakça

  • Special report from the National Institute of Neurological Disorders and Stroke. Classification of cerebrovascular diseases III. Stroke 1990; 21:637-76.
  • Aho K, Harmsen S, Hataon S, Marquardsen J, Smirnow VE. Cerebrovascular disease in the community:results of a WHO collaborative study. Bull World Health Organ 1980; 58:113-30.
  • Feigin VL. Stroke in developing countries: can the epidemic be stopped and outcomes improved? Lancet Neurol 2007; 6:94-7.
  • Kong KH, Chua KSG. Clinical Characteristics and Functional Outcome of Stroke Patients 75 Years Old and Older. Arch Phys Med Rehabil 1998; 79: 1535-9.
  • Shen JJ, Washington EL. Disparities in outcomes among patients with stroke associated with insurance status. Stroke 2007; 18:59-63.
  • Heineman AW, Roth EJ, Cichowski K, et al. Multivariate analysis of improvement in outcome following stroke rehabilitation. Arch Neurol 1987; 44: 1167-72.
  • Macciocicchi SN, Diamond PT, Alves WM, Mertz Tracie. Ischemic Stroke: Relation of age, lesion localization, and initial neurologic deficit to functional outcome. Arch Phys Med Rehabil 1998; 79: 1255-57.
  • Alexander MP. Stroke rehabilitation outcome. A potential use of predictive variables to establish levels of care. Stroke 1994; 25: 128-34.
  • Reddy PM, Reddy V. After a stroke: Strategies to restore functional and prevent complications. Geriatrics September 1997; 52 (9): 59-75.
  • Shah S, Vanclay F, Cooper B. Predicting discharge status at commencement of stroke rehabilitation. Stroke 1989; 20: 76669.
  • Bagg S, Pombo AP, Hopman W. Effect of age on functional outcomes after stroke rehabilitation. Stroke 2002; 33: 179-85.
  • Nakayama H, Jorgensen HS, Raaschou HO, Olsen TS. The influence of age on stroke outcome. The Copenhagen stroke study. Stroke 1994; 25: 808-13.
  • Petrilli S, Durufle A, Nicolas B, Pinel JF. Hemiplegia and return to domicile. Ann Readapt Med Phys 2002; 45:69-76.
  • Gialanella B. Motor function and functional capacity in hemiplegia with global aphasia after rehabilitation. Clin Ter 2001; 152:291-7.
  • Chen L, Mu R, Li J. Analysis on relative factors of influencing limb functional recovery in the patient of hemiplegia. Zhongguo Zhen Jiu 2006; 26: 778-80.
  • Wade DT, Hewer RL, Wood VA. Stroke; The influence of age upon outcome. Age Aging 1984; 13: 357-62.
  • Hachisuka K, Tsutsui Y, Furusawa K, Ogata H. Gender differences in disability and lifestyle among community-dwelling elderly stroke patients in Kitakyushu, Japan. Arch Phys Med Rehabil 1998; 79: 998-1002.
  • Wyller TB, Sodring KM, Sveen U, Ljunggren AE, Bautz-Holter E. Are there gender differences in functional outcome after stroke? Clin Rehabil 1997;11(2):171-9.
  • Ohwaki K, Hashimoto H, Sato M, Tokuda H. Gender and family composition related to discharge destination and length of hospital stay after acute stroke. Tohoku J Exp Med 2005; 207:325-32.
  • Glader EL, Stegmayr B, Norrving B, Terent A. Sex differences in management and outcome after stroke: a Swedish national perspective. Stroke 2003; 34:1970-5.
  • Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B. Adaptation of the functional independence measure for use in Turkey. Clinical Rehabilitation 2001;15:311-8.
  • Kalra L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke 1994; 25: 821-5.
  • Sharma JS, Fletcher S, Vassalo M. Strokes in the elderly. Higher acute and 3-month mortality. An explanation. Cerebrovascular Diseases 1999; 9: 29-32.
  • Kelly P, Furie KL, Shafqat S, Rallis N. Functional recovery folloving rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil 2003; 84: 968-72.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ferhan Soyuer Bu kişi benim

Demet Ünalan Bu kişi benim

Ahmet Öztürk Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 14 Sayı: 2

Kaynak Göster

APA Soyuer, F., Ünalan, D., & Öztürk, A. (2007). İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi. Journal of Turgut Ozal Medical Center, 14(2), 91-94.
AMA Soyuer F, Ünalan D, Öztürk A. İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi. J Turgut Ozal Med Cent. Nisan 2007;14(2):91-94.
Chicago Soyuer, Ferhan, Demet Ünalan, ve Ahmet Öztürk. “İnme Hastalarında Yaş Ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi”. Journal of Turgut Ozal Medical Center 14, sy. 2 (Nisan 2007): 91-94.
EndNote Soyuer F, Ünalan D, Öztürk A (01 Nisan 2007) İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi. Journal of Turgut Ozal Medical Center 14 2 91–94.
IEEE F. Soyuer, D. Ünalan, ve A. Öztürk, “İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi”, J Turgut Ozal Med Cent, c. 14, sy. 2, ss. 91–94, 2007.
ISNAD Soyuer, Ferhan vd. “İnme Hastalarında Yaş Ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi”. Journal of Turgut Ozal Medical Center 14/2 (Nisan 2007), 91-94.
JAMA Soyuer F, Ünalan D, Öztürk A. İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi. J Turgut Ozal Med Cent. 2007;14:91–94.
MLA Soyuer, Ferhan vd. “İnme Hastalarında Yaş Ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi”. Journal of Turgut Ozal Medical Center, c. 14, sy. 2, 2007, ss. 91-94.
Vancouver Soyuer F, Ünalan D, Öztürk A. İnme Hastalarında Yaş ve Cinsiyetin Fonksiyonel Yetersizlik Üzerine Olan Etkisi. J Turgut Ozal Med Cent. 2007;14(2):91-4.