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2025, Number 3-4

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Rev Mex Med Fis Rehab 2025; 37 (3-4)

Quality of life in patients with acute stroke, treated with an institutional rehabilitation program at IMSS Hospital General de Zona No. 20

Coronado-Padilla F, Ramírez-Vásquez JE, Gutiérrez-Gabriel I

Language: Spanish
References: 26
Page: 68-78
PDF size: 417.37 Kb.


ABSTRACT

Introduction: patients with cerebrovascular accident (CVA) are beneficiated in their quality of life related to health care through rehabilitation interventions. It is necessary to verify if these changes persist over time after receiving those interventions. Material and methods: comparative, cuasiexperimental, longitudinal, unicentric, prospective, and homodemic study. It was performed in a General Zone Hospital. Forty adult patients of both sexes were included, admited in internal medicine or geriatric medicine with CVA as diagnosis and whom asked for a Rehabilitation interconsultation. ECVI-38 questionnaire was applied to asses quality of life. Six months later data was recolected and received rehabilitation therapy, they were followed up by telephone using the same questionnaire. A descriptive analysis was carried out by calculating frequency distribution for qualitative variables, and measures of central tendency and dispersion for quantitative variables in both questionnaires. Results: Shapiro-Wilk test was used to analyze quantitative variables in a population under 50 participants, and Wilcoxon test was used to compare ECVI-38 scores before and after intervention. There was a significant increase in the number of participants who reported "without impact" after therapy (10 vs 32.5%) and a decrease in those patients with "moderate impact" (20 vs 7.5%) (p = 0.002), showing a symptomatic improve. Regarding the degree of improvement reported by the patients, 5% reported total improvement, 42.5% reported a lot of improvement, 32.5% reported quite a bit of improvement, 17.5% reported a few improvements, and 2.5% reported no improvement. Comparison by quality of life showed that patients with mild impact or without impact had a greater trend to experiment a total improvement or lot of improvement, meanwhile those with an initial moderate impact showed lesser or none improvement (p = 0.005). These findings show that rehabilitation intervention has a significant positive effect in quality of life, especially in patients with initial lesser impact. Conclusion: the institutional rehabilitation program applied since the admission has a significant positive impact in quality of life that lasts at least six months after rehabilitation therapy.


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