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Revista Cubana de Medicina General Integral
Print version ISSN 0864-2125
Abstract
ESTEVEZ PERERA, Abel; ESTEVEZ PERERA, Adonis; COLL COSTA, Jorge de Lázaro and HARDY MARTINEZ, Yamirka. Evaluation of disability in hemiplegic patients from Cerro university teaching polyclinic. Rev Cubana Med Gen Integr [online]. 2012, vol.28, n.4, pp. 682-693. ISSN 0864-2125.
Introduction: hemiplegia is an important cause of disability as a result of a stroke. The persistence and quality of the rehabilitative process lead to better results in the patient prognosis. Objective: to evaluate the extent of disability in hemiplegic patients from the health area under "Cerro" university teaching polyclinics. Methods: a cross-sectional and descriptive study was conducted in hemiplegic patients who regularly went to the rehabilitation service of Cerro polyclinics from September 2009 to July 2011. The sample consisted of one hundred and twenty four over 15 years-old hemiplegic patients due to cerebrovascular disease, who were evaluated according to the Rosseton's disability scale. Those patients with mixed or sensory aphasia and those who refused to participate were excluded. Results: of the participants, 84 (67.8 %) patients were independent for orientation whereas semi-dependence for movement and physical needs prevailed. For personal hygiene, 48 (38.7 %) patients were dependent. Ninety two (74.2 %) patients did not feel motivated to spend their leisure time in doing any activity, basically because of difficulties in living together with their relatives. Conclusions: the extent of disability of evaluated hemiplegic patients is caused by their partial dependence in terms of movement, and physical needs and by their dependence for self-care. Difficulties in coexistence and family relationships interfere with the motivation of the patients to spend their leisure time.
Keywords : hemiplegia; rehabilitation; disability.