Dynamics of changes in the life quality of patients in the early post-stroke recovery period

Aim: to assess the dynamics of changes in the life quality of patients in the early recovery period after acute cerebrovascular accident. The method of continuous sampling was used to select 142 patients after ischemic stroke who were admitted from the hospital to the second stage of medical rehabilitation. All patients received a standardized rehabilitation package including physical exercises and physical methods. On the 21st day and 6th month from the beginning of rehabilitation, general cerebral symptoms and quality of life were assessed using the NНР questionnaire, Spielberger-Khanin questionnaire and a medical and sociological questionnaire. On the 21th day from the beginning of rehabilitation, the majority of patients showed a positive trend in the reduction of general cerebral symptoms, which persisted throughout the entire follow-up period. In the NНР survey, the most rapid positive effect (on the 21st day after its start) was achieved only in the "pain" indicator, but later this indicator did not change statistically significantly; The indicator "physical activity" did not change statistically significantly during the entire follow-up period, and a positive effect in the other NHP indicators appeared only at the 6th month of follow-up. The medical and sociological questionnaire also showed a delayed positive effect. According to the Spielberger-Hanin questionnaire, reactive anxiety improved on the 21st day of rehabilitation, but later this indicator did not change statistically significantly, while personal anxiety, which is a more stable indicator, showed a delayed positive effect on the 6th month of follow-up. Assessing the quality of life can significantly change our understanding of the effectiveness of rehabilitation programs in patients after stroke. The results obtained show the necessity of further studying the impact of medical rehabilitation programs on the quality of life of patients after stroke using a better study design.

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