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与中风后恢复正常生活相关的因素。

Factors associated with reintegration to normal living after stroke.

作者信息

Murtezani Ardiana, Hundozi Hajrie, Gashi Sanie, Osmani Teuta, Krasniqi Valbona, Rama Bukurie

机构信息

Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosova, Prishtina.

出版信息

Med Arh. 2009;63(4):216-9.

Abstract

BACKGROUND AND PURPOSE

Emotional alterations are frequent after stroke. Anxiety is a response due to the fear from disease, although depression is a result of potential disability and restrictive lifestyle. The aim of this study was to investigate the relation between reintegration to normal living (community reintegration) of patients after stroke and their functional disabilities.

SUBJECTS AND METHODS

Data were collected from 44 patients with chronic stroke receiving physical therapy services at Physical Medicine and Rehabilitation Clinic, University Clinical Center of Prishtina. Activities of Daily Living (ADL) were measured with the Barthel index (BI). Reintegration to Normal Living Index (RNLI) was used to measure reintegration into normal social activities, functional capacity was measured with six-minute walk test (6MWT), balance was evaluated with Berg Balance Scale (BBS),and motor functioning was assessed with Fugl- Meyer Motor Assessment (FMA).

RESULTS

Based on statistical results it can be concluded that the RNLI score has correlated positively with 6MWT and BI, while age didn't demonstrate any correlation.

CONCLUSION

Physical impairment has immense impact in reintegration of stroke patients in society. With the improvement of physical state the quality of life is raised too, and stroke patients are easier reintegrated in the society. Patients with stronger reintegration to normal living had better outcomes in daily activity and quality of life.

摘要

背景与目的

中风后情绪改变很常见。焦虑是对疾病恐惧的一种反应,而抑郁是潜在残疾和受限生活方式的结果。本研究的目的是调查中风患者重新融入正常生活(社区融入)与其功能残疾之间的关系。

对象与方法

收集了44例在普里什蒂纳大学临床中心物理医学与康复诊所接受物理治疗服务的慢性中风患者的数据。采用巴氏指数(BI)测量日常生活活动(ADL)。使用重新融入正常生活指数(RNLI)来测量融入正常社会活动的情况,用六分钟步行试验(6MWT)测量功能能力,用伯格平衡量表(BBS)评估平衡,并用Fugl-Meyer运动评估(FMA)评估运动功能。

结果

根据统计结果可以得出结论,RNLI评分与6MWT和BI呈正相关,而年龄未显示出任何相关性。

结论

身体损伤对中风患者融入社会有巨大影响。随着身体状况的改善,生活质量也会提高,中风患者更容易融入社会。重新融入正常生活能力较强的患者在日常活动和生活质量方面有更好的结果。

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