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Cover Page Volume I Issue I





Dharam P. Pandey  Naresh Kumar  Meenakshi Rajput  Anuj Mishra, Afiya Sadiq  

Background: Stroke is the world?s third highest cause of death and a major cause of disability. The impact of stroke on an individual stroke sufferer are often left with a resultant disability. Physically disabled individuals, including those who have suffered a stroke, are highly susceptible to develop secondary health complications arising after a primary disability caused by stroke. In stroke patient?s secondary complications not only include contractures, spasticity and pressure sores but also include psycho-social adjustment to depression, isolation and environmental issues such as architectural inaccessibility.

Health services should be orientated towards the prevention of secondary complications and the enhancement of the health status of stroke patients by encouraging a habitual lifestyle that involves health-promoting behaviors. A general health behavior curriculum should be provided as a service to all those living with physical disabilities. The objective of this study was to find out what are the health-related behaviors of stroke patients in various hospitals and health centers in the National Capital Region and what factors influence the engagement of the stroke patients in these health-related behaviors.

Material and Methods: The study was conducted in the National Capital Region of India (Delhi, Noida, Gurgaon). This region includes several districts, with each district consisted of many government as well as private hospitals and nursing homes the setting for the current study was National Capital Region of India. The total 127 subjects were recruited from 43 physiotherapists who were identified from, nursing homes, hospitals and physiotherapy center across National Capital Region of India. We included the patients age group between 25 to 70 years with chronic stroke more than 1 to 2 years.

We developed the health-related questionnaire. We re-examined the questionnaire and outlined the major sections. The questionnaire comprised of the following seven sections.

Results & Conclusion: The findings of this study indicate that most of the participants were indeed involved in poor health behaviors including sedentary lifestyles and substance usage such as alcohol and smoking.

Rehabilitation professionals need to recognize that although functional independence is an important goal resulting behaviors may be detrimental to the health and quality of lifer / of patients who have suffered a stroke, if health promotion interventions are not implemented with urgency. It is of utmost importance to note that education, social support and identity adjustment among physically disabled individuals with stroke have a significant impact on the health-related behaviors that they choose to engage in. Rehabilitation professionals therefore need to foster positive attitudes among these stroke patients and motivate them as well as offer relevant information to their family and friends during the rehabilitation process. Considering the long period of time that individuals who have suffered a stroke spend with physiotherapists compared to other health professionals, there exists a responsibility and window of opportunity for the physiotherapist to initiate individualized health promotional strategies, early in the rehabilitation program.

Keywords: Stroke, Health Promotion, Disability, Rehabilitation