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The impact of stroke on people living in central Uganda: A descriptive study
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden;Inst Allied Hlth & Management Sci Mulago, Occupat Therapy Sch, Mulago, Uganda.
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden;Karolinska Univ Hosp, Dept Neurol, Solna, Sweden.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Rehabiliteringsmedicin. Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.ORCID-id: 0000-0002-5308-4821
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
2018 (engelsk)Inngår i: African Journal of Disability, ISSN 2226-7220, Vol. 7, artikkel-id UNSP a438Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Knowledge about perceived impact of stroke on everyday life as well as rehabilitation needs after stroke in Uganda is necessary to identify and develop rehabilitation interventions. Objectives: To explore and describe clinical characteristics and functioning during the acute or subacute phase and chronic phase, as well as the impact of stroke on everyday life during the chronic phase in stroke survivors in central Uganda. Method: A cross-sectional observational study was conducted on a consecutively included acute or subacute (n = 58) sample and a chronic (n = 62) sample. Face-to-face interviews were conducted to collect demographic information and clinical characteristics. The Scandinavian Stroke Scale (SSS) was used to collect clinical characteristics, assess neurological impairment and define stroke severity. The Barthel Index was used to assess the level of dependence in activities of daily living. In addition, the Stroke Impact Scale (SIS) 3.0 Uganda version was used to assess the impact of stroke in everyday life as perceived by the individuals in the chronic sample receiving rehabilitation. Results: The mean age of the acute/subacute sample was 49 years and 81% had moderate or severe stroke. The mean age of the chronic rehabilitation group was 53 years and 58% had mild stroke. Time since onset in the acute sample was between 2 days and 3 weeks, and time since onset for the chronic sample varied between 3 months and 3 years. Strength, hand function and participation were the most impacted SIS domains in the chronic sample. Conclusion: People with severe and moderate stroke were more likely to be admitted to Mulago Hospital. The mean age in the study sample was lower than that in high-income countries. Further knowledge is needed regarding the impact of stroke to develop guidelines for stroke rehabilitation interventions feasible in the Ugandan healthcare context in both rural and urban areas.

sted, utgiver, år, opplag, sider
2018. Vol. 7, artikkel-id UNSP a438
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Identifikatorer
URN: urn:nbn:se:uu:diva-373245DOI: 10.4102/ajod.v7i0.438ISI: 000453934100001PubMedID: 30568911OAI: oai:DiVA.org:uu-373245DiVA, id: diva2:1278312
Forskningsfinansiär
Swedish Research Council, 2014-2863
Merknad

Correction in: AFRICAN JOURNAL OF DISABILITY, Volume: 8, Article Number: UNSP a606, DOI: 10.4102/ajod.v8i0.606

Tilgjengelig fra: 2019-01-14 Laget: 2019-01-14 Sist oppdatert: 2019-11-04bibliografisk kontrollert

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