腦中風患者接受復健治療的臨床資料和功能恢復情況的研究

Clinical Profile and Functional Outcome of Stroke Patients Following Rehabilitation Therapy

林昭宏(Jau-Hong Lin) ； 劉景寬(Ching-Kuan Liu) ； 林永哲(Young-Tso Lin) ； 黃茂雄(Mao-Hsiung Huang)

《中華民國物理治療學會雜誌》 24卷2期 (1999/03) Pp. 81-87

https://doi.org/10.29616/JPTAROC.199903.0004

摘要

本前瞻性研究目的主要調查與分析住院復健科接受復健治療的腦中風患者社會人口學及住院期間診斷評估臨床資料和出院時日常生活功能進步情形。本研究以高雄醫學院附設中和醫院民國八十六年一月至十二月期間因腦中風住院在復健科病房並且接受復健治療之患者163位為研究對象。收集患者社會人口學及住院期間臨床診斷評估結果做為研究基本分析資料。其中出院時功能獨立自主量表（共分自我照顧、排便、移位、走動、溝通、社會認知等六大項目，總分為126分）得分和住院期間量表進步量做為接受復健治療預後的指標。結果顯示在統計學上住院期間量表六大項目的進步量都有顯著的意義；然而病患在出院時有獨立步行能力者僅佔34.4%，日常生活能力除了一位完全恢復獨立正常外，其餘病患日常生活能力皆有不同程度的依賴性。這些結果和先前研究再做比較。

關鍵字

中風 ； 復健治療 ； 臨床資料

並列摘要

The purpose of this prospective study was to investigate the clinical profile and functional outcome of stroke patients following rehabilitation therapy. A total of 163 stroke patients (93 males and 70 females) aged 30-92 years who were consecutively admitted to the inpatient rehabilitation department at Kaohsiung Medical College Hospital in 1997 were included in this study. Sociodemographic and clinical factors, and Functional Independence Measure (FIM) scores were collected during hospitalization period. FIM scores gains at discharge were used as the prognosis index. Statistical analyses showed significant improvement in each FIM subscale scores. at the time of discharge. However, only 34.4% of total stroke patients could walk independently, and only one patient had fully recovered and regain independence in daily living activities at discharge. These findings were compared with those in previous studies.

並列關鍵字

Stroke ； Rehabilitation therapy ； Clinical profile