Evaluación del proceso de rehabilitación nerurológica en los pacientes con accidente cerebrovascular del Centro de Salud Familiar Eduardo de Geyter de Rancagua en el período 2017
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2017
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es
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Universidad Andrés Bello
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Licencia CC
Resumen
Evaluar el Proceso de Rehabilitación Neurológica en los pacientes con Accidente Cerebrovascular del Centro de Salud Familiar Nº 2 de Rancagua, en el periodo 2017. Método: contamos con 19 participantes con diagnóstico de Accidente Cerebrovascular, en los que se evaluó el proceso de tratamiento de rehabilitación que recibieron, para lo cual se aplicó una encuesta que nos permitió conocer y caracterizar a la población, el manejo hospitalario y el manejo ambulatorio, finalmente se aplicó el Índice de Barthel con el fin de conocer su nivel de funcionalidad actual. Para el análisis de datos se utilizó la prueba exacta de Fisher.
Resultados: se observó que el 68.5% de la muestra presentó algún tipo de secuela, siendo las motoras las más frecuentes con un 47.4%. Solamente el 57,89% tuvo visita o recibió terapia por parte del Equipo de Rehabilitación durante la hospitalización. Al momento del alta hospitalaria 6 personas fueron derivadas a un servicio de rehabilitación y en el seguimiento ambulatorio solamente 2, sin embargo 5 pacientes siguieron el plan de rehabilitación. El 57,89% presenta independencia funcional y el 42, 11 % algún grado de dependencia. Se observó una relación directa entre el cumplimiento de la terapia y el nivel de dependencia con un p valor de 0.011. Conclusión: hemos visto que existe un cumplimiento parcial de las recomendaciones dictadas por la guía ministerial de manejo de accidente
cerebrovascular tanto en el manejo hospitalario como en el ambulatorio.
Objective: To evaluate the Neurological Rehabilitation Process in patients with Stroke of the Family Health Cenfer N º 2 of Rancagua, in the period 2017. Method: we had 19 participants with a diagnosis of Stroke, in which the rehabilitation treatment process they received was evaluated, far which a survey was applied that allowed us to know and characterize the population, hospital management, ambulatory management and finally the Barthel lndex was applied in arder to know its current level of functionality. Fisher's exact test was used to analyze the data. Results: it was observed that 68.5% of the sample presented sorne type of sequelae, being the motor ones the most frequent with 47.4%. Only 57.89% had a visit or received therapy from the Rehabilitation Team during the hospitalization. At the time of discharge 6 people were referred to a rehabilitation service and ambulatory follow-up only 2, however 5 patients followed the rehabilitation plan. 57.89% have functional independence and 42.11 % have sorne degree of dependency. A direct relationship was observed between the compliance of the therapy and the level of dependence with a p value of 0.011. Conclusion: we have seen that there is partial compliance with the recommendations dictated by the ministerial guidance on stroke management in both hospital and outpatient management
Objective: To evaluate the Neurological Rehabilitation Process in patients with Stroke of the Family Health Cenfer N º 2 of Rancagua, in the period 2017. Method: we had 19 participants with a diagnosis of Stroke, in which the rehabilitation treatment process they received was evaluated, far which a survey was applied that allowed us to know and characterize the population, hospital management, ambulatory management and finally the Barthel lndex was applied in arder to know its current level of functionality. Fisher's exact test was used to analyze the data. Results: it was observed that 68.5% of the sample presented sorne type of sequelae, being the motor ones the most frequent with 47.4%. Only 57.89% had a visit or received therapy from the Rehabilitation Team during the hospitalization. At the time of discharge 6 people were referred to a rehabilitation service and ambulatory follow-up only 2, however 5 patients followed the rehabilitation plan. 57.89% have functional independence and 42.11 % have sorne degree of dependency. A direct relationship was observed between the compliance of the therapy and the level of dependence with a p value of 0.011. Conclusion: we have seen that there is partial compliance with the recommendations dictated by the ministerial guidance on stroke management in both hospital and outpatient management
Notas
Proyecto de título (Magíster en Neurorrehabilitación)
Palabras clave
Accidente Cerebrovascular, Rehabilitación