Department of Physiotherapy, St. Joseph's Healthcare, Hamilton, Ontario, Canada.
Disabil Rehabil. 2009;31(26):2185-95. doi: 10.3109/09638280902951846.
To determine the needs, barriers and facilitators of function in individuals with stroke after discharge from hospital. To examine the results stratified by the patient's acute score (<41, 41-80, >80) on the functional independence measure (FIM).
This was a cohort study of 209 patients who had been admitted to hospital because of stroke. Patients were interviewed following hospital discharge using a semi-structured interview and asked to complete and return a quantitative closed-ended survey.
For most domains, frequencies of needs varied across the FIM groups. Combining all FIM groups, the interview showed needs related to: physical impairments (35%), time for recovery (33%), education (28%), medical advice (25%), therapies and services (21%), social needs (19%) and emotional needs (18%). From the interview, the most frequent barriers were physical impairments (55%) and emotional concerns (40%). Common facilitators were family support (54%), therapies and medical care (40%) and personal attitudes (22%). Additional needs from the survey concerned: IADL, mobility, ADL, recreation, finances, communication and employment. Additional barriers from the survey were: attitudes, social participation, environments and limited services.
There is a large and varied number of needs and barriers following discharge from hospital that have planning and advocacy implications for rehabilitation teams.
确定出院后脑卒中患者的功能需求、障碍和促进因素。通过对功能独立性测量（FIM）的急性评分（<41、41-80、>80）进行分层，检验结果。
这是一项对 209 名因脑卒中住院的患者进行的队列研究。患者在出院后接受半结构化访谈，并要求完成和返回一份定量封闭式调查问卷。
对于大多数领域，FIM 组之间的需求频率存在差异。将所有 FIM 组合并，访谈显示与以下方面相关的需求：身体功能障碍（35%）、恢复时间（33%）、教育（28%）、医疗建议（25%）、治疗和服务（21%）、社会需求（19%）和情绪需求（18%）。访谈中最常见的障碍是身体功能障碍（55%）和情绪问题（40%）。常见的促进因素是家庭支持（54%）、治疗和医疗护理（40%）以及个人态度（22%）。调查中还涉及其他需求，包括：IADL、移动能力、ADL、娱乐、财务、沟通和就业。调查中的其他障碍包括：态度、社会参与、环境和有限的服务。
出院后存在大量且多样化的需求和障碍，这对康复团队的规划和倡导具有重要意义。
