年青腦中風病患復健成果之探討

Outcome of Young Stroke

梁秋萍(Chau-Peng Leong) ； 鄧復旦(Fuk-Tan Tang) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 14期 (1986/12) Pp. 19-26

摘要

本研究個案對象是四十歲以下的腦血管疾病患者，自民69年6月至73年12月間在長庚醫院住院，並接受復健治療者。以問卷調查及電話追踪方式，對其日常生活功能、人際溝通能力、職業狀況、婚姻狀況及經濟能力進行調查，並探討其中之相互關係及與一般腦中風患者的能力比較。
結果顯示在可追?到的22位病患，在日常生活自我照顧能力中，以大小便能自我照顧者佔最多，共19例（86.4%），其他依次為穿衣、進餐、洗澡。這些能力的獨立在右側麻痺患者顯然比左側麻痺者較好，已婚者亦較未婚者為佳。在基本活動能力中，可獨立行走者佔18例（81.8%）。在人際溝通能力上，語言接受、表達、閱讀、及理解能力正常者均達半數以上。
發病前後的離婚率，在統計學上沒有明顯的差與。但發病後的失業率卻明顯的增加，失業率為59.0%。與日常生活獨立能力、語言接受、表達、閱讀能力、及是否獨立行走有關。
與一般腦中風患者的能力比較，年青腦中風患者在沐浴方面自我照顧能力較佳（63.6%：33.3%），能獨立步行者較多（81.8%：44.0%）；其他在大小便、穿衣能力上，則無明顯差異。

關鍵字

復健 ； 年青腦中風 ； 日常生活

並列摘要

Twenty-two cases of age under 40 with cerebral vascular disease had received rehabilitation programs in Chang-Gung Memorial Hospital from June, 1980 lo December 1984, were follow up by questionnaires and telephone. Analysis of activities of daily living, communicating ability, vacational status, marital, economic conditions and compare with the abilities of the old age group were done.
In the items of independence in activies of daily living, this study revealed an order sequence as toilet, dressing, self feeding, arid bathing. The majority of independent showed in toileting in 19 patients (86.4%). In this study, the independent ADL is better in right hemiplegia than left hemiplegia. The outcome of marriage group is better than the single.
Among the items of general activities,18 patients could walk independently (81.8%). More than half of these patients had nominal speech in receptive, expressive, reading and understanding.
In this study, the divorce rate showed no different between the young stroke and ordinary people.
Unfortunately, the unemployment rate showed increase after stroke (59,0%). This was rather corelated with the independence of ADL, speech receptive, expressive, reading, understanding ability and walking ability.
When compare with the aged stroke group, this study revealed better independence in bathing (63.6%:33.3%) and walking (81.8%:44.0%) in young age group, but no difference in toilet, dressing or feeding.

並列關鍵字

rehabilitation ； Young stroke ； Activities of dialy living