Santus G, Ranzenigo A, Caregnato R, Inzoli M R
Department of Geriatric Medicine and Rehabilitation, St. Orsola-FBF Hospital, Brescia, Italy.
Stroke. 1990 Jul;21(7):1019-22. doi: 10.1161/01.str.21.7.1019.
We interviewed 120 elderly hemiplegic patients 1 year after their acute stroke to assess cognitive impairment using the Mini-Mental State Examination, functional autonomy using the Barthel Index, mood disorders using the Hamilton Rating Depression Scale, and social integration using the Social Functioning Exam. Of the 76 patients admitted to this study, eight (12.1% of those testable) had significant cognitive impairment, 41 (53.9%) were functionally self-sufficient, 27 (35.5%) showed depressive symptoms, and 44 (57.9%) had problems in social and family integration. We suggest that a complete rehabilitation program aimed at producing a good quality of life for elderly hemiplegic patients should take into account all these aspects of human existence.
我们在120名老年偏瘫患者急性中风1年后进行了访谈，使用简易精神状态检查表评估认知障碍，使用巴氏指数评估功能自主性，使用汉密尔顿抑郁量表评估情绪障碍，使用社会功能检查评估社会融合情况。在纳入本研究的76名患者中，8名（可测试者中的12.1%）有明显的认知障碍，41名（53.9%）功能上能够自理，27名（35.5%）有抑郁症状，44名（57.9%）在社会和家庭融合方面存在问题。我们建议，旨在为老年偏瘫患者带来高质量生活的完整康复计划应考虑到人类生存的所有这些方面。
