社區居民腦中風患者日常生活活動和生活品質的調查研究

A Follow-up Study of Activity of Daily Living and Quality of Life for Stroke Patients in the Community

林昭宏(Jau-Hong Lin) ； 柴惠敏(Huei-Ming Chai) ； 廖龍仁(Long-Ren Liao) ； 黃昭郎(Chao-Lang Huang) ； 陳美汀(Mei-Ting Chen) ； 廖小瑤(Hsiao-Yao Liao)

《物理治療》 28卷5期 (2003/10) Pp. 243-250

摘要

背景與目的：本研究主要目的是調查腦中風患者預後日常生活活動和生活品質的情況。方法：採用以南投縣社區居民為基礎的橫斷研究調查法，首先從社會局身心障礙人口電腦系統找出在民國90年期間經鑑定領有身心障礙手冊的腦中風患者為調查對象。利用居家訪視來完成中風復原評估量表(Stroke Rehabilitation Assessment of Movement, STREAM)、巴氏日常生活量表(Barthel Index, BI)、芙蘭切活動量表(Frenchay Activities Index, FAI)和專屬中風生活品質量表的評估。結果：完成居家訪視評估個案共計82位；其中，身心障礙等級判定為極重度、重度、中度及輕度者，分別有2位(2%)、21位(26%)、53位(65%)及6位(7%)；預後在家日常生活功能獨立自主者有12位(15%)，由家人照護者51位(62%)，請看護或外籍監護工在家照護者19位(23%)；中風復原評估量表平均得分33.8±21.0，巴氏日常生活量表平均得分11.3±7.2，芙蘭切活動量表平均得分4.1±7.6；生活品質量表評估整體而言，有57位(70%)個案表示其生活品質比中風前差很多。結論：社區居民中風患者多半為中重度，且生活品質比中風前差很多，相關結果可能有助於縣政府擬定社會醫療福利政策和執行居家物理治療效益評估的參考。

關鍵字

中風 ； 身心障礙鑑定 ； 日常生活活動 ； 生活品質

並列摘要

Background and Purpose: The purpose of this study was to investigate the activities of daily living and quality of life among stroke survivors in the community. Methods: This cross-sectional survey study based on communities in Nan-Tou County was conducted in a cohort of stroke patients, who were enrolled to a handicap list of computer system at the Bureau of Society during the year of 2001. The Stroke Rehabilitation Assessment of Movement (STREAM), Barthel Index (BI), Frenchay Activities Index (FAI), and Stroke Specific Quality Of Life (SSQOL) were administered during patients' visits at homes. Results: Among 82 subjects based on home visits, 2 patients (2%), 21 patients (26%), 53 patients (65%), and 6 patients (7%) demonstrated the degree of accreditation with very severe, severe, moderate, and mild impairment, respectively. There were 12 patients (15%) lived independently at home, 51 (62%) still lived at their own home dependent upon their family members and 19 (23%) dependent on paid carers or foreign caregivers. The mean STREAM, BI, and FAI scores were 33.8±21.0, 11.3±7.2, and 4.1±7.6, respectively. With the use of SSQOL, 57 patients (70%) responded being worse than that before stroke. Conclusion: Most of the stroke residents in the community were severe-moderately impaired and their quality of life became worse. The results may assist in setting up relevant medical and socio-welfare policies and providing the basis of effect on physical therapy at home for stroke survivors in communities of Nan-Tou.

並列關鍵字

Stroke ； Handicap of accreditation ； Activity of daily living ； Quality of life