腦中風病人復健入院時平衡能力與出院時日常生活功能之關聯

Relationship between Balance at Rehabilitation Admission and ADL Function at Discharge in Stroke Patients

何祖華(Tzu-Hua Ho) ； 薛漪平(I-Ping Hsueh) ； 謝清麟(Ching-Lin Hsieh)

《慈濟醫學雜誌》 12卷1期 (2000/03) Pp. 43-48

https://doi.org/10.6440/TZUCMJ.200003.0043

摘要

目的：早期預測中風病人出院時之ADL功能，有助於腹健目標與治療計畫的訂定。本研究目的在探討中中風病人復健入院時坐姿平衡與出院時日常生活功能之相關性，並比較入院時坐姿平衡、整體平衡能力等變項對於出院時日常生活功能之預測能力。病人與方法：38位中風病人於復健入院時接受整體平衡(Berg Balance Scale)、坐姿平衡(Fugl-Meyer Motor Assessment中之坐姿平衡項目)及日常生活功能(Barthel Indes)評量，出院時再接受日常生活功能評量。所得資料先以Pearson r檢驗入院時坐姿平衡、整體平衡、及年齡等人口學變項與出院時日常生活功能之關聯程度，再以逐步迴歸分析檢驗上術變項與出院時日常生活功能之關聯程度。結果：入院時坐姿平衡能力不是出院時日常生活功能的良好預測因虧，整體平衡能力與年齡則是為較佳的預測因子(p=0.001)。結論：綜合整體平衡能力與年齡二變項，可達到預測病人出院時之日常生活功能(R2=0.58)。(慈濟醫學 2000;12:43-48)

關鍵字

中風 ； 坐姿平衡 ； 平衡 ； 日常生活活動

並列摘要

Objective: Early prediction of activities of daily living (ADL) function at discharge is a critical factor that enables clinicians to set treatment programs and goals. The objective of this study was to assess the relationship between sitting balance at rehabilitation admission and ADL function at discharge for stroke patients admitted to a rehabilitation unit. We also compared sitting balance and total balance at admission to ADL function at discharge. Patients and Methods: thirty-eight stroke patients admitted to our rehabilitation unit were tested for total balance (using the Berg Balance Scale), sitting balance (suing the Fugl-Meyer balance subscale), and ADL function (using the Barthel Index) at admission. The Barthel Index was also reevaluated in all patients at discharge. The data were tested using Pearson’s correlation (r) to determine the relationships between ADL function at discharge and the following variables: admission total balance, admission sitting balance, and demographics. Stepwise regression analysis was used to examine the relationship between these variables and ADL function at discharge. Results: In this study , sitting balance at admission was not a good predictor of ADL function at discharge in stroke patients. Admission balance and age were the best predictors for it . Conclusion: We propose that the combination of these two factors at admission might be a good predictor for patients’ ADL function at discharge in stroke units(R2=0.58). (Tzu Chi Med J 2000; 12:43-48)

並列關鍵字

cerebrovascular disorders ； sitting balance ； balance ； activites of daily living