Orr P M, Bratton G N
Rehabil Nurs. 1992 Nov-Dec;17(6):306-10. doi: 10.1002/j.2048-7940.1992.tb01265.x.
Self-assessed functional ability of patients with arthritis was measured prior to their participation in a 6-day inpatient arthritis rehabilitation program. Self-assessed functional ability was rechecked at discharge and again at the follow-up, which took place 5 to 10 weeks after discharge. Patients at five different centers completed the modified Health Assessment Questionnaire (HAQ) at admission (n = 97) and again at discharge (n = 95). Thirty-six of those patients completed the follow-up questionnaire. The disability index was significantly lower at discharge than at admission and significantly lower at follow-up than at discharge. Pain severity was significantly lower at discharge than at admission but was not significantly different at follow-up than at discharge. McNemar's test, a modification of the standard chi-square, was used to compare patients' reliance on the assistance of others to perform functional tasks at admission versus at discharge. Reliance on others for help was significantly lower on discharge than on admission for grooming, arising, eating, walking, hygiene, reaching, and gripping/opening. This study concludes that participation in the inpatient rehabilitation program significantly reduced disability, pain, and the need for assistance from others.
在参与为期6天的住院关节炎康复项目之前，对关节炎患者的自我评估功能能力进行了测量。在出院时以及出院后5至10周进行随访时再次检查自我评估功能能力。来自五个不同中心的患者在入院时（n = 97）和出院时（n = 95）完成了改良的健康评估问卷（HAQ）。其中36名患者完成了随访问卷。残疾指数在出院时显著低于入院时，在随访时显著低于出院时。疼痛严重程度在出院时显著低于入院时，但在随访时与出院时无显著差异。采用标准卡方检验的改良方法——McNemar检验，比较患者在入院时与出院时完成功能任务对他人帮助的依赖程度。在修饰、起床、进食、行走、卫生、够物以及抓握/松开方面，出院时对他人帮助的依赖程度显著低于入院时。本研究得出结论，参与住院康复项目可显著降低残疾程度、疼痛以及对他人帮助的需求。
