Revista da Escola de Enfermagem da USP
Print version ISSN 0080-6234
COSTA, Fabrícia Azevêdo da; SILVA, Diana Lidice Araujo da and ROCHA, Vera Maria da. The neurological state and cognition of patients after a stoke. Rev. esc. enferm. USP [online]. 2011, vol.45, n.5, pp. 1083-1088. ISSN 0080-6234. http://dx.doi.org/10.1590/S0080-62342011000500008.
The objective of this study was to have a multidisciplinary team investigate the neurological state and cognitive performance of patients after a stroke, through a cross-sectional study with 45 patients in rehabilitation after having an acute stroke. The data collection instruments used were an assessment sheet, the Mini Mental-MEEM, and the National International Health Stroke Scale-NIHSS. The sample consisted mostly of women (55.6%), Ischemic Stroke (86.7%), right hemisphere of the brain (60%) and Educated (68.8%). The mean MEEM for educated and illiterate patients was 19.3 ± 5.0 and 15.92 ± 3.7, respectively. The overall mean of the neurological state was 13.0±4.8. A significant difference was found between the cognitive means of patients in terms of education (p value=0.017), and there was a significant relationship between the neurological state and cognitive performance (r=-0.44 p value=0.002). It appears to be a direct relationship between the neurological state and cognition performance of patients after an acute stroke, which evinces the need for greater attention to the cognitive issue involved early in rehabilitation.
Keywords : Stroke; Cognition; Evaluation; Rehabilitation.