腦中風復健治療之預後影響研究

The Study of Prognosis of Stroke Rehabilitation

謝如蘭(Ru-Lan Hsieh) ； 連倚南(I-Nan Lein) ； 李文宗(Wen-Chung Lee) ； 許美慧(Mei-Hue Hsu) ； 韋有維(Yau-Wai Wai)

《中華民國復健醫學會雜誌》 24卷2期 (1996/12) Pp. 113-119

摘要

本研究篩選三家醫院復健科腦中風病患148位為對象，以日常生活量表（Barthel index）為指標，探討發病前個案參與社會活動之情況，發病時的神經功能受損程度及住院期間的併發症及主要照顧者等各項因素對復健治療之預後影響。
結果顯示影響住院期間日常生活量表進步的因素有醫院類別、住院時的日常生活量表分數、上肢近端運動功能及住院期間主要照顧者等；影響出院時日常生活量表分數的因素則有發病前之戶外活動、籍貫、手臂功能、下肢運動功能、尿失禁及關節孿縮等。而腦中風次數及發病前之社會活動則與上述兩項日常生活量表皆有相關。本研究證實腦中風復健預後的影響因素除了中風本身的嚴重程度之外，尚與發病前個案參與社會活動及發病後家屬參與復健的程度有關。

關鍵字

腦中風 ； 復健 ； 預後 ； 日常生活量表

並列摘要

Using Barthel index (Bl) as a Parameter, a total of 148 subjects were collected for the study of the effective-ness of stroke rehabilitation. The factors related to BI scores improvement after rehabilitation program include premorbid social activity, hospital patient admitted, stroke recurrence, BI score at admission, Brunnstrom stage of proximal upper extremity and main care giver during hospitalization. The determinants of discharge BI scores include premorbid outdoor and social activities, natility, stroke recurrence, arm function, Brunnstrom stage of lower extremity, urinary incontinence and presence of joint contracture. These findings indicate that the prognosis of stroke rehabilitation is determined not only by the severity of stroke itself but also by the degree of premorbid social activity and the involvement of family member in the care of patient during rehabilitation.

並列關鍵字

stroke ； rehabilitation ； prognosis ； Barthel index