Navegando por Palavras-chave "cerebral vascular accident"

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    Estudo do sono em pacientes após acidente vascular cerebral avaliados no ambulatório de neurovascular do hospital São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2016-12-09) Oliveira, Giuliano da Paz [UNIFESP]; Coelho, Fernando Morgadinho Santos Coelho [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: Caractherize the pattern of sleep and the factors related those could be predictive for subjective sleep quality in patients after stroke. Methods: Cross-sectional study involving 68 post-stroke patients seen at the Stroke Clinic. The data collected were age, sex, BMI, neck circumference, TOAST, NIHSS, modified Rankin Scale, and the presence of comorbidities such as hypertension, diabetes mellitus and smoking - and questionnaires - SF-36, PSQI, STOP-BANG, SEE, RLS. Results: The mean age was 59.8 ± 12.9 years, most of them (51.5%) were men. 48.5% had SED (ESE?10) and only 13.2% had RLS. Correlations among lower quality of life, lower age and higher BMI with low quality sleep were observed. It was also found that poor sleepers have worse quality of life and greater STOP-BANG scores. The STOP-BANG was a predictor of a poor quality of sleep, with relative risk of 1.6. Conclusion: This study confirmed the higher prevalence of poor sleep in post-stroke patients. This issue must be highlighted in care of these patients to minimize the impact in their quality of life, secondary risk, and rehabilitation. The STOP-BANG can be an interesting option to identify a poor quality of sleep in patients with underlying stroke.
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    Tradução e adaptação cultural da escala de qualidade de vida no AVE “SIS” Stroke Impact Scale 20
    (Universidade Federal de São Paulo (UNIFESP), 2015-06-30) Brandao, Aline Dias [UNIFESP]; Gazzotti, Mariana Rodrigues Gazzotti [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: There are today few specific scale to measure the quality of life of Cerebral Vascular Accident (CVA) patients; and none of these questionnaires have been translated into the Portuguese language or had their reliability assessed. The Stroke Impact Scale (SIS) is available in the international literature as a tool to analyze the overall impact of light and moderate CVA on the patients? daily living. Objective: Translate the SIS ? Stroke Impact Scale 2.0 into the Portuguese language (Brazilian Portuguese), carry out cross-cultural adaptation and assess its reliability. Correlate SIS 2.0 with the SF-36 and with HADS (Hospital Anxiety and Depression Scale) in CVA patients. Methods: The process of translation and back-translation was carried out, along with adaptation to the Portuguese language and Brazilian culture. In order to assess the reliability of the scale, it was applied on 40 CVA patients from the Neurovascular outpatient clinic, who answered the questions for three times. On the first day, the scale was applied twice by two independent researchers (interobserver reproducibility); and after 15 days the scale was applied or the third time by researcher 1 (intraobserver reproducibility). The intraclass correlation coefficient (ICC) was used to test the reliability of the SIS 2.0 scale. Results: The reliability of the scale was very good (ICC: 0.73 to 0.99). The intraobserver reliability was also very good for all domains (ICC = 0.85 to 0.95). Correlating SIS 2.0 with SF-36, for the domains strength, mobility; ADL and functional capacity, and ADL correlated with general health conditions, the correlations were moderate. For all other domains the correlations were weak. Moderate negative correlation was observed between depression and the domains memory and communication. Conclusion: The version of SIS 2.0 translated into Portuguese and adapted to the Brazilian culture proved to be patient-friendly and presented good reliability to be used with patients diagnosed with CVA.