Influence of Admission Functional Status on Functional Gain and Efficiency of Rehabilitation in First Time Stroke Patients

初次腦中風患者住院時功能狀況對於功能進步和復健效率的影響

林昭宏(Jau-Hong Lin)

《The Kaohsiung Journal of Medical Sciences》 17卷6期 (2001/06) Pp. 312-318

https://doi.org/10.6452/KJMS.200106.0312

摘要

本研究目的是探討初次腦中風患者住院接受復健治療時的功能狀況對於功能進步和復健效率的影響。本前瞻性研究以高雄醫學大學附設中和醫院民國八十六年期間因初發性腦中風住院在復健病房接受復健科和出院時，分別使用功能獨立自主量表（Functional Independence Measure, FIM）來評估生活功能恢復狀況。依據住院時FIM得分狀況，分為重度（18~36分）、中度（37~72）和輕度失能障礙（73~126分）三組。單因子變異數統計分析結果發現輕度失能障礙中風病患平均年齡（58.2±12.3年）明顯小於重度失能者（66.3±9.4年），其住院復健期間平均功能進步量（16.6±11.7）也明顯小於重度失能者（27.6±23.3）。然而，復健效率在三組之間統計學上並沒有明顯的差異性。本研究的結果說明初次腦中風患者依據住院時FIM得分功能分組似乎可以用來預測接受復健治療期間功能進步的情況。

並列摘要

The purpose of this study was to determine whether the admission functional status influences the functional gain and efficiency of stroke rehabilitation. We prospectively studied 105 first time stroke patients consecutively admitted to the inpatient rehabilitation department of a university hospital during 1997. Functional status was assessed with the Functional Independence Measure (FIMTM) instrument on admission and discharge of inpatient rehabilitation program. The patients were stratified into three groups according to their FIM total Scores on admission, i.e., 18 to 36, 37 to 72, and 73 to 126. One-way ANOVA with Tukey's studentized range tests indicated that patients with FIM total scores of ≧ 73 at admission were significantly younger (58.2± 12.3 yr) and scored lower functional gain (16.6 ± 1l.7) than those who scored of ≦ 36 (66.3 ± 9.4 yr) of age and functional gain of (27.6 ± 23.3). However, there were no significant differences on rehabilitation efficiency among the three groups. The findings of this study suggest that the functional groups stratified by admission FIM score seem to predict the degree of functional gain for first time stroke patients after inpatient rehabilitation.

並列關鍵字

stroke；functional gain ； Functional Independence Measure