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頁籤選單縮合
題名 | 腦中風後生活型態改變的追蹤研究=A Follow-up Study of Functional Changes in Stroke Patients |
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作 者 | 林昭宏; 廖麗君; 林瑞泰; 劉景寬; 林永哲; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 24:5 1999.09[民88.09] |
頁次 | 頁1-8 |
分類號 | 418.92 |
關鍵詞 | 中風; 日常生活活動; 預後; Stroke; Activities of daily living; Prognosis; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的主要調查腦中風後生活型態變化的情形和分析相關影響因素。本研究以高雄醫學院附設中和醫院民國八十四年十一月至八十六年十二月期間腦中風住院治療之患者311位為研究對象。完成收集其中169位首次中風患者基本人口學及住院期間臨床診斷和出院至少半年後芙蘭切活動量表(Frenchay Activitiex Indes, FAI)及功能獨立自主量表(Functional Independence Measure, FIM)評估結果做為預後全面性日常生活活動分析資料。 結果顯示比較發病前和預後訪視時FAI量表及其三大項目(做家務事、戶外活動及休閒工作)得分的退步量在統計學上都有顯著的差異性;其次,男女性別和識字與否對於出院半年後 FAI 量表有關做家務事及休閒工作兩方面的退步量在統計學上有顯著的差異性;而日常生活功能獨立與否對於出院半年後FAI量表和三大項目的退步量都有顯著的影響。發病前和訪視時FAI量表得分皆與年齡呈負相關性(r=-0.27, p<0.001;r=-0.19, p<0.05);預後訪視時FAI量表得分和FIM量表得分呈顯著正相關性(r=0.63,p<0.001 )。 |
英文摘要 | The aim of the present study was to investigate the lifestyle change and analysis the related factors in stroke patients. A total of 311 stroke patients who were consecutively admitted to the inpatient neurology or rehabilitation department at Kaohsiung Medical College Hospital between November 1, 1995 and December 31, 1997 were included in this study. We studied 169 first stroke survivors aged 30 to 92 years at onset by telephone or personal interviews during their clinical visits, at home or long-term care institution. Sociodemographic and clinical factors were collected during hospitalization period. Functional Independence Measure (FIM) instrument and Frenchay Activities Index (FAI) as comprehensive assessment of Activities of Daily Living (ADL) were measured at least 6 months following the onset of stroke. Statistics with univariate analyses indicated significant differences in the FAI subscore (domestic chores, outdoor activities, and leisure/work activities) between prestroke and poststroke status at the time of interview. Gender and illiteracy were significantly correlated with the FAI subscore decrease in domestic chores and leisure/work activites. ADL dependency at interview was a important factor influencing the FAI subcore. In addition, FAI scores at prestroke and poststroke status were negatively correlated (r=-0.27,p<0.001; r=-0.19,P<0.001) with age; and positively correlated (r=0.63, p<0.001) with FIM score. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。