腦中風後生活型態改變的追蹤研究

A Follow-up Study of Functional Changes in Stroke Patients

林昭宏(Jau-Hong Lin) ； 廖麗君(Lih-Jiun Liaw) ； 林瑞泰(Ruey-Tay Lin) ； 劉景寬(Ching-Kuan Liu) ； 林永哲(Young-Tso Lin)

《中華民國物理治療學會雜誌》 24卷5期 (1999/09) Pp. 333-340

https://doi.org/10.29616/JPTAROC.199909.0001

摘要

The aim of the present study was to investigate the lifestyle change and analysis the related factors in stroke patients. A total of 311 stroke patients who were consecutively admitted to the inpatient neurology or rehabilitation department at Kaohsiung Medical College Hospital between November 1, 1995 and December 31, 1997 were included in this study. We studied 169 first stroke survivors aged 30 to 92 years at onset by telephone or personal interviews during their clinical visits, at home or long-term care institution. Sociodemographic and clinical factors were collected during hospitalization period. Functional Independence Measure (FIM) instrument and Frenchay Activities Index (FAI) as comprehensive assessment of Activities of Daily Living (ADL) were measured at least 6 months following the onset of stroke. Statistics with univariate analyses indicated significant differences in the FAI subscore (domestic chores, outdoor activities, and leisure/work activities) between prestroke and poststroke status at the time of interview. Gender and illiteracy were significantly correlated with the FAI subscore decrease in domestic chores and leisure/work activities. ADL dependency at interview was a important factor influencing the FAI subscore. In addition, FAI scores at prestroke and poststroke status were negatively correlated (r=-0.27, p＜0.001; r=-0.19, p＜0.001) with age; and positively correlated (r=0.63, p＜0.001) with FIM score.

關鍵字

中風 ； 日常生活活動 ； 預後

並列摘要

The aim of the present study was to investigate the lifestyle change and analysis the related factors in stroke patients. A total of 311 stroke patients who were consecutively admitted to the inpatient neurology or rehabilitation department at Kaohsiung Medical College Hospital between November 1, 1995 and December 31, 1997 were included in this study. We studied 169 first stroke survivors aged 30 to 92 years at onset by telephone or personal interviews during their clinical visits, at home or long-term care institution. Sociodemographic and clinical factors were collected during hospitalization period. Functional Independence Measure (FIM) instrument and Frenchay Activities Index (FAI) as comprehensive assessment of Activities of Daily Living (ADL) were measured at least 6 months following the onset of stroke. Statistics with univariate analyses indicated significant differences in the FAI subscore (domestic chores, outdoor activities, and leisure/work activities) between prestroke and poststroke status at the time of interview. Gender and illiteracy were significantly correlated with the FAI subscore decrease in domestic chores and leisure/work activities. ADL dependency at interview was a important factor influencing the FAI subscore. In addition, FAI scores at prestroke and poststroke status were negatively correlated (r=-0.27, p＜0.001; r=-0.19, p＜0.001) with age; and positively correlated (r=0.63, p＜0.001) with FIM score.

並列關鍵字

Stroke ； Activities of daily living ； Prognosis