查詢結果分析
相關文獻
- Factors Influencing Functional Independence Outcome in Stroke Patients after Rehabilitation
- 影響腦中風患者使用長期照護機構的因素
- 影響腦中風患者復健治療住院天數長短的因素
- 腦中風患者復健治療預後之探討
- 腦中風患者復健治療時程與出院及長期功能結果之關聯性
- 糖尿病與腦中風
- The Influence of Rehabilitation Therapy on the Prognosis for Stroke Patients--A Preliminary Study
- The Influence of Age on Functional Independence Outcome in Stroke Patients
- Rehabilitation Fees, Length of Stay and Efficiency for Hospitalized Stroke Patients: A Preliminary Study Based on Function-Related Groups
- A Follow-up Study of First Stroke Patients after Inpatient Rehabilitation
頁籤選單縮合
題 名 | Factors Influencing Functional Independence Outcome in Stroke Patients after Rehabilitation=影響腦中風患者復健治療預後功能獨立的因素 |
---|---|
作 者 | 林昭宏; 蕭世芬; 張靖敏; 黃茂雄; 劉景寬; 林永哲; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:7 2000.07[民89.07] |
頁 次 | 頁351-359 |
分類號 | 415.922 |
關鍵詞 | 腦中風; 復健治療; 預後; 功能獨立; Stroke; Functional independence; Rehabilitation therapy; |
語 文 | 英文(English) |
中文摘要 | 本前瞻性研究目的是探討住院復健科腦中風患者預後日常生活功能獨 立自主的影響因素。本研究以高雄醫學大學附設中和醫院民國八十六年一月至十 二月期間因腦中風住院在復健病房接受復健治療之患者150位為對象。在剛住院 復健科、出院前和出院六個月後訪視時,分別使用功能獨立自主量表(Functional Independence Measure, FIM)來評估日常生活功能狀況,並且使用加拿大神經量表 (Canadian Neurological Scale, CNS)來評估中風患者住院時神經系統損傷的嚴重 情況。收集患者主要社會人口學及住院期間臨床診斷和住院時臨床評估FIM和 CNS得分結果做為預測變項。出院半年後共完成142位個案日常生活狀態的追 蹤訪視,結果發現訪視時日常生活功能恢復完全獨立者共有23位(16.2%)。單變 項分析結果顯示:影響生活功能是否恢復完全獨立的主要因素包括年齡、先前職 業型態、是否有心臟病危險因子、住院期間是否發生併發症、是否兩側肢體運動 功能皆受損、住院時FIM和CNS量表得分能力等項目。邏輯迴歸分析結果發現, 住院時FIM和CNS量表得分能力可做為預後生活功能是否恢復獨立自主的重要 預測變項。 |
英文摘要 | The purpose of this study was to identify predictive variables relevant to functional independence outcomes for stroke patients following rehabilitation therapy. We prospectively studied 150 stroke patients consecutively admitted to the inpatient rehabilitation department of a university hospital from January 1 to December 31, 1997. Functional ability was assessed with the Functional Independence Measure (FIMTM) instrument on admission, on discharge of inpatient rehabilitation program, and at the 6 months follow-up visit after discharge. Severity of stroke was determined by using the Canadian Neurological Scale (CNS) on admission. In addition, major medical and sociodemographic factors were documented during hospitalization as independent variables. Of the 142 subjects surveyed, 23 (16.2 %) stroke patients achieved functional independence at home when re-visited. Univariate test and multiple logistic regression analyses indicated that the significant factors affecting functional independence included age of onset, occupation, prior heart problems, the presence of medical complications, bilateral hemiplegia, and the functional ability (FIM score) and the severity of stroke (CNS score) on admission. The results of this study suggest that the admission CNS and FIM scores are useful in the prediction of functional independence outcome for stroke survivors following rehabilitation therapy. |
本系統中英文摘要資訊取自各篇刊載內容。