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|Title||Psychological, Physical Dysfunctions and Risk Factors of Hemiplegic Patients in Gaza Strip|
The background and the purpose: The purpose of this study was to examine the hemiplegic psychological and physical dysfunctions and the rehabilitation effect on these disabilities. Also to understand the different risk factors frequencies among hemiplegic patients in Gaza Strip. The methods: The study depend on cross sectional design. It included 163 rehabilitated hemiplegics, 96 of them are males, and 67 of them are females who were rehabilitated at the period from 1-1-2005 to 31-12-2010 at the national center for community rehabilitation and UNRWA physiotherapy centers in Gaza city and Khanyounes. The physical dysfunctions was measured by Short Form-36 (SF-36) instrument (physical functioning and role limitation due to physical health domains) and the psychological dysfunctions was measured by SCL – 90 - R scale. The researcher used SPSS for statistical analysis, frequency tables for all study variables, correlation between variables, sign-test to identify different mean relationship and cross tabulation using Chi-Square. The results: The study shows that males are exposed to hemiplegia more than females, age group above 40 years are more vulnerable to hemiplegia than younger ages and psychological stresses are the highest frequency risk factor for hemiplegia. The results show that 39.98% of the participants had psychological symptoms and only 6.75% of them passed the standard deviation above the mean which means high level of mental health. The results show that 75.96% had mild to moderate physical disabilities while 22.5% had role limitation due to physical health which means that most of the participants 77.5% has good satisfaction in their activities of daily living. The results show that hemiplegia physical disabilities are age dependent while functional disabilities are affected more by hypertension. The results show that the hemiplegic patients have the most benefits on the physical functioning domain when they commenced rehabilitation directly after having stroke and continued rehabilitation from 30 to 60 days, while the most benefits on the role limitation due to physical health domain when they commenced rehabilitation more than one year after having stroke and continued rehabilitation from 30 to 60 days. The results show that rehabilitation reduces the psychological symptoms effect when commenced directly after having stroke and continued rehabilitation from 30 to 6o days.
|Publisher||the islamic university|
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