Valorar la independencia funcional con la escala FIM en los pacientes con accidente cerebrovascular en el área de rehabilitación del Hospital José Carrasco Arteaga. Cuenca, junio – noviembre 2015

Abstract

Background: The World Health Organization (WHO) defines the cerebrovascular accident – brain stroke (CVA) as "A clinical syndrome represented by the fast development of focal or global disturbance of cerebral function that last more than 24 hours or drives to death, without any cause other than the one of vascular origin "(1). General Objective: To evaluate the functional independence with the FIM scale in patients with cerebrovascular accident – brain stroke in the area of rehabilitation of the Hospital José Carrasco Arteaga. Cuenca, June-November 2015. Methods: A descriptive cross-sectional observational study was conducted with 61 outpatients that belonged to the rehabilitation area of the Hospital José Carrasco Arteaga, with a medical diagnosis of cerebrovascular accident – brain stroke, in which the Functional Independence Measure (FIM) scale was applied, classifying the functional independence in: functional independence, modified independence, supervision, minimum attendance, modified assistance, maximum assistance and total attendance. Results: The average age frequency occurred in the age ranges of 71-80 years and 81- 90 years, with 23.0 %, the female gender was the most affected with 60.7 %; the most common type of stroke was ischemic with 65.6 %.The physical dependence, revealed that 60.7 % of patients, had an affection of the motor part, giving a result of 29.5 % with a moderate functional independence, followed by 21.3 % of patients who need supervision in their daily activities. Conclusion: The study showed that brain stroke affects the functionality of the patient and therefore their quality of life. This makes important an objective evaluation of functionality, because it allows you to set individual goals for rehabilitation