影响成年中风患者社区重新融入的预测因素评估
Evaluation of Predictive Factors Influencing Community Reintegration in Adult Patients with Stroke.
作者信息
Olawale Olajide Ayinla, Usman Jibrin Sammani, Oke Kayode Israel, Osundiya Oladunni Caroline
机构信息
Department of Physiotherapy, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria.
出版信息
J Neurosci Rural Pract. 2018 Jan-Mar;9(1):6-10. doi: 10.4103/jnrp.jnrp_386_17.
OBJECTIVES
Patients with stroke are faced with gait, balance, and fall difficulties which could impact on their community reintegration. In Nigeria, community reintegration after stroke has been understudied. The objective of this study was to evaluate the predictors of community reintegration in adult patients with stroke.
MATERIALS AND METHODS
Participants were 91 adult patients with stroke. Gait variables, balance self-efficacy, community balance/mobility, and fall self-efficacy were assessed using Rivermead Mobility Index, Activities-specific Balance Confidence Scale, Community Balance and Mobility Scale, and Falls Efficacy Scale-International respectively. Reintegration to Normal Living Index was used to assess satisfaction with community reintegration. Pearson Product-Moment Correlation Coefficient was used to determine the relationship between community reintegration and gait spatiotemporal variables, balance performance, and risk of fall. Multiple regression analysis was used to determine predictors of community reintegration ( ≤ 0.05).
RESULTS
There was significant positive relationship between community reintegration and cadence ( = 0.250, = 0.017), functional mobility ( = 0.503, = 0.001), balance self-efficacy ( = 0.608, = 0.001), community balance/mobility ( = 0.586, = 0.001), and duration of stroke ( = 0.220, = 0.036). Stride time ( = -0.282, = 0.073) and fall self-efficacy ( = 0.566, = 0.001) were negatively correlated with community reintegration. Duration of stroke, balance self-efficacy, community balance/mobility, and fall self-efficacy (52.7% of the variance) were the significant predictors of community reintegration.
CONCLUSION
Community reintegration is influenced by cadence, functional mobility, balance self-efficacy, community balance/mobility, and duration of stroke. Hence, improving balance and mobility during rehabilitation is important in enhancing community reintegration in patients with stroke.
目的
中风患者面临步态、平衡和跌倒方面的困难，这可能会影响他们重新融入社区。在尼日利亚，中风后社区重新融入的情况研究不足。本研究的目的是评估成年中风患者社区重新融入的预测因素。
材料与方法
参与者为91名成年中风患者。分别使用Rivermead运动指数、特定活动平衡信心量表、社区平衡与运动量表以及国际跌倒效能量表评估步态变量、平衡自我效能、社区平衡/运动能力和跌倒自我效能。使用恢复正常生活指数评估对社区重新融入的满意度。采用Pearson积差相关系数确定社区重新融入与步态时空变量、平衡表现和跌倒风险之间的关系。使用多元回归分析确定社区重新融入的预测因素（≤0.05）。
结果
社区重新融入与步频（=0.250，=0.017）、功能活动能力（=0.503，=0.001）、平衡自我效能（=0.608，=0.001）、社区平衡/运动能力（=0.586，=0.001）以及中风持续时间（=0.220，=0.036）之间存在显著正相关。步幅时间（= -0.282，=0.073）和跌倒自我效能（=0.566，=0.001）与社区重新融入呈负相关。中风持续时间、平衡自我效能、社区平衡/运动能力和跌倒自我效能（方差的52.7%）是社区重新融入的显著预测因素。
结论
社区重新融入受步频、功能活动能力、平衡自我效能、社区平衡/运动能力和中风持续时间的影响。因此，在康复过程中改善平衡和活动能力对于提高中风患者的社区重新融入至关重要。
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