Impact of Sudden Stroke (SS) on Speech, Vision, and Fine Motor Skills of Patients as Part of the Body Domain of Patients' Quality of Life II. and the use of rehabilitation.

Abstract

Summary

Starting point: As health systems evolve in response to health reform efforts, post-acute care and rehabilitation are often seen as a costly area of care that needs to be reduced, but without acknowledging their clinical impact and ability to reduce the risk of subsequent medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence in patients after SS. The provision of comprehensive rehabilitation programmes (RPs) with adequate resources, dose and duration is an essential aspect of NCMP patient care, and these RPs should also be a priority in this positive change in healthcare efforts aimed at improving the quality of life of patients.

Aim of the study: To determine the impact of SS in patients on speech, vision, fine motor skills and the relationship between the level of satisfaction with the quality of life of patients and the use of rehabilitation.

Population: The basic set of respondents consisted of 104 patients who surpassed the SS.

Methods: The main research method was a questionnaire of our own design. Statistical analyses used: Chi-square independence test and Cramer's V. Statistical analysis was performed in Jamovi programme.

Results: A moderately strong relationship (V = 0.339) means that the speech variable has a more substantial impact on overall satisfaction than the upcoming variable - vision. The results of the Chi-square test (x2 = 7.01) and the values of p = 0.535 indicate that there are no statistically significant differences in satisfaction with quality of life for the vision variable, Cramer's V (V = 0.184) indicates a weak relationship. The analysis of satisfaction with the quality of life in relation to fine motor skills shows statistically significant differences between the categories, which means that the ability of fine motor skills affects the overall assessment of quality of life. Based on the chi-square test (x2=38.3; p=<0.01; df=12), we found an extremely strong statistically significant difference between the groups. Cramer's V (V = 0.350) points to a moderately strong relationship between variables. Exercise frequency has a statistically significant impact on overall satisfaction with quality of life, with the best results not with the most intense, but with regular exercise several times a week.

Conclusions: The study presents findings demonstrating that speech, vision, fine motor skills and rehabilitation use appear as significant variables influencing overall satisfaction with the quality of life of patients after NCMP. We pointed out the changes that are taking place in the lives of patients and that should continue to be monitored, evaluated in order to create appropriate interventions and individual health care plans within a multidisciplinary team, which includes rehabilitation, speech therapy, occupational therapy, art therapy.