RESUMO
OBJECTIVES: To describe the most prevalent disorders in 1753 patients referred to home rehabilitation and home physiotherapy units. METHOD: We carried out a cross-sectional descriptive study. The variables analyzed were age, gender, main diagnosis, functional capacity (Barthel Index), physiotherapeutic objectives, the treatment applied and the number of sessions. RESULTS: The main diagnoses were immobilization effects (29%), hip fracture (16.5%), stroke (13.7%), knee replacement (11.9%), hip replacement (4.7%), chronic obstructive pulmonary disease (2.6%), and Alzheimer's disease (2.4%). The lowest Barthel Index was obtained in Alzheimer's disease, stroke and immobilization effects and the highest in patients with knee replacement. The process requiring the highest number of sessions for complete recovery was stroke. CONCLUSIONS: Significant improvements were confirmed in pre- and post- Barthel Index scores for each of the above-mentioned diagnoses, demonstrating greater functional independence among patients.
Assuntos
Serviços de Assistência Domiciliar , Modalidades de Fisioterapia/estatística & dados numéricos , Reabilitação/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , EspanhaRESUMO
Objetivos Describir las patologías de mayor prevalencia en 1753 pacientes derivados a las Unidades Móviles de Rehabilitación y Fisioterapia. Método Estudio descriptivo transversal. Las variables analizadas fueron la edad, el sexo, el diagnóstico principal, la capacidad funcional (Índice de Barthel), los objetivos fisioterapéuticos, las técnicas de tratamiento y el número de sesiones realizadas. Resultados Los diagnósticos principales fueron secuelas por inmovilización (29%), fracturas de cadera (16,5%), accidente vascular cerebral (13,7%), prótesis de rodilla (11,9%) y cadera (4,7%), enfermedad pulmonar obstructiva crónica (2,6%) y enfermedad de Alzheimer (2,4%). Los Índices de Barthel iniciales más bajos se obtuvieron en Alzheimer, accidente vascular cerebral y secuelas por inmovilización; el más alto se obtuvo en los pacientes intervenidos de prótesis de rodilla. El proceso que necesitó mayor número de sesiones para su recuperación fue el accidente vascular cerebral. Conclusiones Se confirman ganancias positivas entre el Índice de Barthel inicial y el final tras el tratamiento rehabilitador para cada proceso descrito, con una mayor independencia funcional del paciente (AU)
Objectives To describe the most prevalent disorders in 1753 patients referred to home rehabilitation and home physiotherapy units. Method We carried out a cross-sectional descriptive study. The variables analyzed were age, gender, main diagnosis, functional capacity (Barthel Index), physiotherapeutic objectives, the treatment applied and the number of sessions. Results The main diagnoses were immobilization effects (29%), hip fracture (16.5%), stroke (13.7%), knee replacement (11.9%), hip replacement (4.7%), chronic obstructive pulmonary disease (2.6%), and Alzheimer's disease (2.4%). The lowest Barthel Index was obtained in Alzheimer's disease, stroke and immobilization effects and the highest in patients with knee replacement. The process requiring the highest number of sessions for complete recovery was stroke. Conclusions Significant improvements were confirmed in pre- and post- Barthel Index scores for each of the above-mentioned diagnoses, demonstrating greater functional independence among patients (AU)
Assuntos
Humanos , /estatística & dados numéricos , Serviços Hospitalares de Assistência Domiciliar/estatística & dados numéricos , Reabilitação/organização & administração , Atenção Primária à Saúde/estatística & dados numéricos , Avaliação de Resultado de Intervenções Terapêuticas , Recuperação de Função Fisiológica , Estudos Transversais , Pessoas com Deficiência/estatística & dados numéricosRESUMO
Se analizan los resultados de un estudio piloto para un modelo de cuestionario sobre la percepción de la sordera en el entorno educativo de primaria y secundaria. La primera parte del estudio presenta la justificación de una evaluación de la integración de alumnos y alumnas con deficiencia auditiva en la escuela ordinaria, así como la utilidad del uso de cuestionarios para dicha evaluación. La segunda parte describe el proceso de elaboración de los ítems que cubren aspectos como la calidad de la comunicación, la percepción social de la sordera desde el punto de vista de los oyentes, la autoestima de los alumnos sordos y el grado de integración social que pueden alcanzar. La tercera parte analiza los resultados del cuestionario aplicado a una muestra experimental. A partir de estos resultados, se propone una nueva versión del cuestionario de cara a poder utilizarlo en investigaciones posteriores, con la posibilidad de relacionar los datos con variables independientes (modalidades de integración escolar, modalidad comunicativa principal, características sociales de la población, etc.) y mejorar así las tomas de decisión en programas de integración (AU)
This article analyzes the results of a pilot study of the application of a proposed questionnaire on social perception of deafness in the primary and secondary education setting. The first part of the article discusses the rationale for evaluating the integration of deaf girls and boys in mainstream schools and the suitability of the questionnaire for this purpose. The second part describes the process of drafting the items covering aspects such as the quality of communication, social perceptions of deafness from the point of view of the hearing person, deaf students' self-esteem and the degree of social integration they can attain. The third part analyzes the results obtained when the questionnaire was first applied to an experimental sample. Based on these results, we propose a new version of the questionnaire to be used in subsequent studies, with the possibility of relating data to independent variables (social integration and principle communication modalities, social characteristics of the population, etc.) in order to improve decision making in mainstream school programs (AU)