Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO 63108, USA.
Disabil Rehabil. 2013 Jul;35(14):1143-8. doi: 10.3109/09638288.2012.720635. Epub 2012 Sep 27.
The purpose of this study was to identify what acute care variables and/or perceived recovery factors could predict decreased participation in physical activities post-mild stroke.
Secondary analysis of persons with mild stroke. Participants were split into two groups based on the percentage of high-demand leisure (HDL) activities retained on the Activity Card Sort (ACS) at 6 months post-stroke. Demographic variables, measures from the acute care setting (National Institutes of Health Stroke Scale (NIHSS), premorbid Barthel Index, and Modified Rankin Scale), and a perceived recovery measure collected at 6 months post-stroke (Stroke Impact Scale (SIS)) were analyzed between groups using independent samples t-tests and logistic regression.
There were no significant differences between groups on any of the demographic or acute care setting measures. Logistic regression indicated that only the overall perceived recovery (p = 0.05) and strength domain scores (p = 0.01) of the SIS were statistically significant factors for determining the percent of retained HDL activities following mild stroke.
Clinicians must consider the clients' own perceived recovery level and other more subjective factors in determining what barriers are limiting their physical activity participation after stroke.
本研究旨在确定哪些急性护理变量和/或感知恢复因素可以预测轻度中风后身体活动参与度的下降。
对轻度中风患者进行二次分析。根据在中风后 6 个月时活动卡片分类（Activity Card Sort，ACS）中保留的高需求休闲（High-Demand Leisure，HDL）活动的百分比，将参与者分为两组。使用独立样本 t 检验和逻辑回归分析两组间的人口统计学变量、急性护理环境中的测量值（国立卫生研究院中风量表（National Institutes of Health Stroke Scale，NIHSS）、发病前巴塞尔指数和改良 Rankin 量表）和中风后 6 个月时收集的感知恢复测量值（中风影响量表（Stroke Impact Scale，SIS））。
两组在任何人口统计学或急性护理环境测量值上均无显著差异。逻辑回归表明，只有 SIS 的整体感知恢复（p=0.05）和力量域评分（p=0.01）是确定轻度中风后保留的 HDL 活动百分比的统计学显著因素。
临床医生在确定限制中风后身体活动参与的障碍时，必须考虑患者自身的感知恢复水平和其他更主观的因素。
