台南地區脊髓損傷病患及其日常生活能力調查

A Survey Study of the Spinal Cord injuries and Their Activity of Daily Living in Tainan Area

薛澤杰(Tse-Chieh Hsueh) ； 鄭裕南(Yue-Nan Jenp) ； 蘇俊仁(Jiunn-Ren Su) ； 吳炎村(Yen-Chun Wu)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 39-48

摘要

本研究於民國80年2月至5月對台南縣市及附近區域148位脊髓損傷患者的日常生活能力作調查。經郵寄問卷及電話訪問共收集110個病例，共中男性95人，女性15人。年齡分佈從16歲至78歲，平均43.2 ± 14.7歲。其中近五分之三的患者是最近三年發生的。四肢癱瘓者51例，其中19例為完全性脊髓損傷：下半身癱瘓者59例，其中33例為完全性脊髓損傷。五分之三的患者自述曾接受復健治療。所有四肢完全癱瘓者均需他人協助完成日常生活活動，下半身完全癱瘓者有84.9%需他人協助，而四肢不完全癱瘓和下半身不完全癱瘓者則分別為37.5%和15.3%。在四組脊髓損傷的類型和程度中，只有下半身完全癱瘓且接受復健治療者其自我照顧能力、移動能力得分和修正版巴氏日常生活評估量表（Modified Barthel Index）總分的平均值較沒有復健治療者顯著較高。因此，如何提昇脊髓損傷患者的復健效果值得進一步探討。

並列摘要

During Feb. and May of 1991, we followed up 110 cases of the spinal cord injuries by questionnaire and telephone in the Tainan area. The patients are composed of 95 males and 15 females, ranging of age from 16 to 78 years with the mean age of 43.2 ± 14.7 years. About three-fifth of the subjects sufferred from their injuries in the recent three years.
There are 51 cases of quadriplegia, 19 of the cases are complete. 59 cases of paraplegia also appear, 33 of them are complete too. Three fifth of these patients received rehabilitation. All complete quadriplegia must require assistance to complete their activities of daily living. Persons of 84.9% of complete paraplegia and 37.5% of incomplete quadriplegia also need assistance to perform their ADL/ Lastly, 15.3% persons of incomplete paraplegia need this assistance as well.
Among the four groups of level and completeness of the spinal cord injuries, only the scores of self-care, mobility and total Modified Bathel index of complete paraplegia who received rehabilityation show significant differences with those that did not.
To improve the effect of treatment for the spinal cord injuries is still a great challenge for rehabilitation personel.

並列關鍵字

spine cord injury ； activites of daily living ； Modified Barthel Index