Self-perception of facial paralysis and sociodemographic-clinical conditions of postacute stroke patients
association analysis
DOI:
https://doi.org/10.23925/2176-2724.2022v34i2e54511Keywords:
Stroke, Self Concept, Facial Paralysis, Facial Expression, Psychosocial ImpactAbstract
Introduction: Facial palsy is one of the most common sequelae in post-stroke patients, bringing a series of negative consequences for self-perception. Objective: To evaluate patients’ self-perception regarding facial palsy after acute stroke and verify if it is related to sociodemographic and clinical conditions. Method: This is a descriptive observational study with 86 patients with facial paralysis after acute stroke admitted to a public hospital. The inclusion criteria were age over 18 years, Glasgow scale above 13 and preserved understanding. Socio-demographic and clinical data were extracted from the medical records. Facial mimicry was assessed using the House & Brackmann protocol (1985) and self-perception of physical and psychosocial discomfort using the facial condition self-assessment questionnaire. Descriptive and association analyses were performed with statistical significance of 5%. Results: The degree of impairment of facial paralysis varied from moderate to total paralysis. Most patients rated the resting face as good, face movement as very bad and bad, with the lips being the worst rated. The patients reported a lot of damage in social activities, a lot of dissatisfaction with the face and medium impairment on eating. The association analysis revealed that self-perception of the face at rest is associated with sex and neurological impairment. Conclusion: Patients in the acute phase of stroke have a self-perception that facial paralysis impacts on lip movement and psychosocial activities, being worse for women and those with moderate and severe neurological impairment.
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Copyright (c) 2022 Raquel Karoline Gonçalves Amaral, Aline Mansueto Mourão, Simone Rosa Barreto, Tatiana Chaves Simões, Laelia Cristina Caseiro Vicente
This work is licensed under a Creative Commons Attribution 4.0 International License.
