Tinson D J
Neurological/Stroke Rehabilitation Unit, Frenchay Hospital, Bristol, UK.
Int Disabil Stud. 1989 Jan-Mar;11(1):45-9. doi: 10.3109/02599148909166380.
A number of studies have suggested that early intensive rehabilitation will promote recovery after stroke. If this is so then how far does current National Health Service provision succeed in delivering this? This observational study looks at how 15 stroke patients in a general hospital spent their days. Only 12.9% of the working day, or 62 minutes, were spent in therapy. Patients spent most of their working day, 38.6%, in 'recreation', and most of this time was spent on the ward. For much of this time they could have been available for therapy sessions or involved in self-directed exercise. The impact of a new regime aimed at increasing intensity of therapy for the hemiplegic arm is examined.
多项研究表明，早期强化康复有助于促进中风后的恢复。倘若果真如此，那么当前国民医疗服务体系在实现这一目标方面成效如何呢？这项观察性研究着眼于一家综合医院的15名中风患者的日常活动情况。工作日中仅有12.9%的时间（即62分钟）用于治疗。患者工作日的大部分时间（38.6%）用于“娱乐”，其中大部分时间是在病房里度过的。在这段时间的大部分时间里，他们本可参加治疗课程或进行自主锻炼。研究还考察了一项旨在提高偏瘫手臂治疗强度的新方案的效果。
