腦中風急性後期照護計畫之職能治療介入成效－病例報告

Effectiveness of Occupational Therapy Intervention for Post-Acute Care of Stroke Patient : A Case Report

陳奎安(Kwei-An Chen) ； 魏曉涵(Hsiao-Han Wei) ； 謝瓊華(Chiung-Hua Hsieh)

《北市醫學雜誌》 預刊文章 Pp. 1-8

https://doi.org/10.6200/TCMJ.202101/PP.0007

摘要

患有心房顫動、慢性阻塞性肺病和慢性腎臟疾病第三期的69歲男性，因右側中大腦動脈梗塞性中風後左側乏力、構音障礙、吞嚥困難。在不同階段提供個別化訓練方案後，個案認知狀況、自我照顧能力與上肢動作能力皆有改善。急性後期整合照護計畫能維持高強度復健且較有治療的連續性，但是病人往往參與計畫時無法確認期程長短，擬透過訂定個別化治療計畫與照護團隊的支持，可以避免個案因計畫期程差異而必須突然回歸社區。此外注意個案憂鬱情形與發展合適的認知評估對於治療計畫的制訂也有幫助。

關鍵字

急性後期照護 ； 腦中風 ； 職能治療 ； 病例報告

並列摘要

A 69-year-old man with atrial fibrillation, chronic obstructive pulmonary disease, and stage III chronic kidney disease was admitted for post-acute care (PAC) program due to right middle cerebral artery territory infarction with left side weakness, dysarthria, and dysphagia. After individualized training in different stages, his cognitive status, self-care ability, and upper limb movement improved significantly. PAC program can maintain high-intensity rehabilitation and more sustainable treatment. However, the participation period in the PAC program cannot be determined in advance. By planning an individualized treatment plan and the medical care team's support, the problem of a sudden return to the community due to the difference of plan periods can be avoided. Besides, paying attention to the patient's depression and developing appropriate cognitive assessments helps develop treatment plans.

並列關鍵字

post-acute care ； stroke ； case report ； occupational therapy