| dc.description.abstract | Introduction: Stroke is one of the main causes of mortality in the world
and the main cause of functional incapacity, considering as physical,
cognitive, emotional and social sequelae, restricting the functionality and
reflecting in partial or total dependence of one caregiver. In this context,
Neuropsychology can supports in understanding of this issue, promoting
the identification of damages, as well as the integrity of other functions and
then, support for rehabilitation programs. Objective: To evaluate the
cognitive alterations of stroke patients and the possible family and social
repercussions after brain stroke. Method: This is a descriptive and
qualitative study, based on the interview of the patients and their relatives,
as well as on the results of the Neuropsychological Brief Evaluation
Instrument - NEUPSILIN, which was applied to the patients. All
participants were submitted to the same activities. The sample consisted
of 30 participants, 16 patients (09 women and 07 men) and 14 relatives,
of both sexes. Results: From the data collected through the
Neuropsychological Brief Instrument - NEUPSILIN, it was possible to
identify that the most affected domain was memory in 100% of the cases.
Subsequently, the language, the praxes, the executive functions (81.25%
each) and the attention (75%) were more affected. The temporo-spatial
and the visual perception orientation were equally compromised (68.75%).
Arithmetic skills presented the lowest damages (43.75%). The thematic
content analysis was performed with 30 interviews. Two main themes were
chosen - family implications and social implications. The thematic axis
family implications revealed five nuclei of meaning: financial loss,
overloading of responsibilities, psychoactive substance abuse, reduction
of autonomy and change of roles. The other axis, social implications,
evidenced three nuclei of meaning: interruption of the work activity,
prejudice in the interpersonal relationship and expansion of the cycle of
friendships. Discussion: the results indicate that the occurrence of stroke
caused significant cognitive impairment for the patients, considering that
100% of the cases had more than one domain of cognition affected, a
factor that had a greater dependence on the presence of a caregiver and
in family and social implications. Final considerations: the repercussions
of a brain stroke such as cerebrovascularaccident can be so devastating
that knowledge about it is extremely relevant, so that actions focused at
promoting the dissemination of knowledge about this subject can be
implemented, and contribute to the minimization of its occurrence, as well
as to the creation of rehabilitation strategies aiming at patient and
caregiver care. | eng |
