İnme Ünitesinde Yatan Hastalarda, Fonksiyonel Değerlendirme Ölçekleri Kullanılarak Klinik Durumun Değerlendirilmesi

Amaç: Bu çalışma ile inme ünitesinde yatan hastaların nörolojik durumlarını, yaygın olarak kullanılan fonksiyonel değerlendirme ölçekleri ile takip ederek bu ölçeklerin iyileşmeyi belirlemedeki etkilerini karşılaştırıp sadece yürümenin değil dengenin ve düşme riskinin fonksiyonel iyileşme sürecindeki önemini vurgulamayı amaçladık. Gereç ve Yöntemler: Aydın Devlet Hastanesi İnme Ünitesi’nde yatan ve dahil edilme kriterlerini karşılayan 31 hastanın verileri çalışmaya alındı. Hastaların denge düzeyleri ve postüral kontrolleri; Berg Denge Skalası (BBS) ile nörolojik değerlendirmeleri Ulusal İnme Sağlık Ölçeği Skalası (NIHSS) ile inmeye bağlı dizabiliteleri ise modifiye Rankin Skalası (mRS) ile standardize edildi. Hasta değerlendirmelerinin ilki inme ünitesinden taburcu oldukları gün, ikincisi ise altı ay sonra yapıldı. Bulgular: Çalışma için 50 hasta değerlendirmeye alındı. Ancak çeşitli nedenlerle 19 hasta dışlandı. Verileri analiz edilen 31 hastanın %58’i kadın olup yaş ortalamaları 71,1 ± 11,8 yıldı. Hastaların NIHSS ve mRS skorlarının altı ay sonra anlamlı olarak azaldığı (p

Evaluation of Clinical Situation Using Functional Assessment Scales in Inpatients in the Stroke Unit

Aim: In this study, we aimed to emphasize the importance of not only walking but also balance and fall risk in the functional recovery process by monitoring the neurological status of patients hospitalized in the stroke unit with commonly used functional assessment scales and comparing the effects of these scales in determining recovery. Material and Methods: The data of 31 patients who were hospitalized in the stroke unit of Aydın State Hospital and met the inclusion criteria were included in the study. Balance levels and postural controls of patients; with the Berg Balance Scale(BBS), neurological assessments; with the National Stroke Health Scale(NIHSS), and stroke-related disabilities were assessed with the modified Rankin Scale(mRS). The first patient evaluations were made on the day of discharge from the stroke unit, and the second was done six months later. Results: Fifty patients were evaluated for the study. However, 19 patients were excluded for various reasons. Of the 31 patients whose data were analyzed, 58% were women, with a mean age of 71.1 ± 11.8 years. It was determined that the NIHSS and mRS scores of the patients decreased significantly (p

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