长期中风幸存者的活动。一项基于对两种既定的日常生活活动和社会活动工具进行以国际功能、残疾和健康分类为导向分析的研究。
Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments.
作者信息
Norlander Anna, Jönsson Ann-Cathrin, Ståhl Agneta, Lindgren Arne, Iwarsson Susanne
机构信息
a Department of Health Sciences , Lund University , Lund , Sweden ;
b Department of Technology and Society , Lund University , Lund , Sweden ;
出版信息
Disabil Rehabil. 2016 Oct;38(20):2028-37. doi: 10.3109/09638288.2015.1111437. Epub 2016 Jan 5.
PURPOSE
To describe activity in different aspects of daily life among long-term stroke survivors, and conceptualise the content of the Barthel Index (BI) and the Swedish extended and modified Frenchay Activities Index (mFAI) using the ICF framework.
METHOD
Assessments were performed by means of the BI and the mFAI at a 10-year follow-up of 145 consecutive stroke survivors from Lund Stroke Register, Sweden. After linking the two instruments to the ICF core set for stroke, data were analysed and presented in terms of activity-specific domain-scores for the total sample and sub-groups according to gender and age.
RESULTS
Together the two instruments covered 69% of the Activities and participation component of the ICF core set for stroke. Two activity-specific domains were identified within the BI and six within the mFAI. Most participants reported a high overall activity level. Inactivity was most common among those ≥80 years. Men and women participated in different types of activities and used different modes of transport.
CONCLUSIONS
Long-term stroke survivors have a high activity level in daily life, though individual variation is considerable. The structure provided by linking instruments to the ICF core set for stroke can be used for more fine-tuned descriptions of activity. Implications for Rehabilitation Since most long-term stroke survivors are independent in ADL but may have limitations in other activity domains such as social and leisure activities, these aspects should be considered in the rehabilitation process. Older stroke survivors deserve special attention due to their higher risk of long-term inactivity. The Barthel Index and the Swedish extended and modified Frenchay Activities Index are complementary for assessments of ADL and social activity after stroke and cover over two thirds of the Activities and participation component in the ICF core set for stroke.
目的
描述长期卒中幸存者日常生活不同方面的活动情况，并使用国际功能、残疾和健康分类（ICF）框架对巴氏指数（BI）以及瑞典扩展版和改良版的法国ay活动指数（mFAI）的内容进行概念化。
方法
在对瑞典隆德卒中登记处的145名连续卒中幸存者进行10年随访时，通过BI和mFAI进行评估。将这两种工具与卒中的ICF核心集关联后，根据性别和年龄对总样本及亚组的特定活动领域得分进行数据分析和呈现。
结果
这两种工具共同涵盖了卒中ICF核心集活动与参与部分的69%。在BI中确定了两个特定活动领域，在mFAI中确定了六个。大多数参与者报告总体活动水平较高。不活动在80岁及以上人群中最为常见。男性和女性参与不同类型的活动并使用不同的交通方式。
结论
长期卒中幸存者在日常生活中活动水平较高，尽管个体差异相当大。将工具与卒中的ICF核心集关联所提供的结构可用于对活动进行更精细的描述。康复意义 由于大多数长期卒中幸存者在日常生活活动中具有独立性，但在社交和休闲活动等其他活动领域可能存在限制，因此在康复过程中应考虑这些方面。老年卒中幸存者因长期不活动风险较高，值得特别关注。巴氏指数和瑞典扩展版和改良版的法国ay活动指数在评估卒中后的日常生活活动和社交活动方面具有互补性，涵盖了卒中ICF核心集活动与参与部分的三分之二以上。
Zotero 插件