接受腦中風急性後期照護病患之物理治療成效探討：以南部某區域醫院為例

腦中風後經常會造成單側偏癱，嚴重影響日常生活功能，更是造成長期殘障的主因。衛福部為提升腦中風病患照護品質，減少病人長期失能風險，在2014年推動腦中風急性後期照護計畫，提供病患在醫院接受高強度復健之措施，本研究目的旨在探討南部某區域醫院執行急性後期照護計畫之物理治療成效。本研究採用病歷回溯性方法，收案人數共69名，以SPSS for windows 17.0分析治療前後資料，統計方法使用描述性統計、成對樣本t檢定、單因子變異數分析。經分析後發現Modified Rankin Scale、Barthel Index、Berg Balance Scale、六分鐘行走測試治療前後有顯著差異。接受腦中風急性後期照護計畫之復健病患，在日常生活功能、平衡能力、行走能力皆有顯著進步。建議未來可納入腦中風病患之認知功能、營養、失語症、尿管、鼻胃管、慢性病等變項之進一步探討，且可持續追蹤病患結案後的恢復情形。

關鍵字

腦中風復健；巴氏量表；平衡量表

並列摘要

Stroke patients often suffer from hemiplegia which affects their ability to perform activities of daily living, and results in the long-term disability. In 2014, the Ministry of Health and Welfare has developed a post-acute care program for stroke patients to receive high-intensity rehabilitation at hospital with the aim to improving the quality of health care, and reduce the risk of long-term disability. The purpose of this study is to explore the effects of the physical therapy of the post-acute care program for stroke patients. A retrospective chart review was performed for a total of 69 subjects. The differences before and after intervention was examined via the statistical software SPSS 17.0 with descriptive statistics, paired samples t test, and one-way ANOVA. Significant improvements were observed for the scores of the Modified Rankin Scale, Barthel Index, Berg Balance Scale as well as the performance of the 6 Minutes Walking Test. Physical therapy significantly improves the abilities of maintaining balance, walking, and performing activities of daily living are significantly improved for stroke patients participating the post-acute care program. Analyses of variables in different dimensions including cognition, nutrition, aphasia, comorbidity as well as the follow-up after discharge may be helpful for the development of better health care plan in the future.