Hinkle Janice L
Catholic University of America, Washington, DC, USA.
Rehabil Nurs. 2010 Jan-Feb;35(1):23-30. doi: 10.1002/j.2048-7940.2010.tb00027.x.
There are few well-designed descriptive studies that focus exclusively on the long-term outcomes of patients after motor stroke. This study reports mortality rates and describes the psychological and functional outcomes 3 years after motor stroke. A description of the variables during acute care and at 3 months that best explain function 3 years after motor stroke is also provided. Home visits were made to 30 patients and another 19 were interviewed by phone. The four instruments used to measure the outcomes were the Center for Epidemiological Studies Depression Scale (CES-D), the Neurobehavioral Cognitive Status Examination (COGNISTAT), the Mini-Mental State Examination (MMSE), and the Functional Independence Measure (FIM). Eleven of the 60 patients contacted had died by the 3-year follow up. The main outcome measures were 3-month FIM of 117.07 (+/- 12.53) and 3-year outcomes for CES-D (6.70 [+/- 7.29]), COGNISTAT (69.67 [+/- 15.62]), MMSE (27.53 +/- 2.74]), and FIM (114.57 +/- 19.00]). A number of multiple regression models were examined; in the best model, the FIM at 3 months accounted for 46% of the variance in function 3 years following the stroke. It is important for rehabilitation nurses to know that the mortality rate was low, psychological outcome was improved, and function was stable 3 years after a motor stroke.
很少有精心设计的描述性研究专门关注运动性卒中患者的长期预后。本研究报告了死亡率，并描述了运动性卒中3年后的心理和功能预后。还提供了急性护理期间和3个月时的变量描述，这些变量最能解释运动性卒中3年后的功能。对30名患者进行了家访，另外19名患者通过电话接受了访谈。用于测量预后的四种工具分别是流行病学研究中心抑郁量表（CES-D）、神经行为认知状态检查（COGNISTAT）、简易精神状态检查表（MMSE）和功能独立性测量（FIM）。在60名被联系的患者中，有11名在3年随访时死亡。主要结局指标为3个月时FIM为117.07（±12.53），以及CES-D（6.70[±7.29]）、COGNISTAT（69.67[±15.62]）、MMSE（27.53±2.74]）和FIM（114.57±19.00]）的3年结局。研究了多个多元回归模型；在最佳模型中，3个月时的FIM占卒中后3年功能差异的46%。康复护士了解运动性卒中3年后死亡率低、心理预后改善且功能稳定这一点很重要。
