Kawada Shogo, Goto Ryohei
Department of Rehabilitation, Orange Home Care Clinic: 1-2-20 Tawara, Fukui, Fukui 910-0018, Japan.
Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba, Japan.
J Phys Ther Sci. 2017 Dec;29(12):2206-2209. doi: 10.1589/jpts.29.2206. Epub 2017 Dec 13.
[Purpose] The objective of the present study was to examine the factors, including physical and mental functions, that are associated with the prognosis for activities of daily living in patients with stroke in a recovery rehabilitation unit. [Subjects and Methods] The subjects were 13 patients with stroke who were admitted to the recovery rehabilitation unit of Tokai Memorial Hospital between March and October 2014 and followed up for 2 months. Their physical and mental functions were evaluated at the time of admission and the relationship between these functions and activities of daily living was assessed 2 months later. [Results] The activities of daily living at 2 months after admission showed a significant correlation not only with the severity of motor paralysis (R=-0.80) but mental function (R=-0.69) at the time of admission. No significant correlation was noted between the severity of motor paralysis and the mental function. [Conclusion] It is important to evaluate both mental function and severity of motor paralysis immediately after patients' admission to the recovery rehabilitation unit. Mental health intervention should be considered in the future to effectively improve subsequent activities of daily living.
[目的] 本研究的目的是调查在康复治疗病房中,与中风患者日常生活活动预后相关的因素,包括身体和心理功能。[对象与方法] 研究对象为2014年3月至10月间入住东海纪念医院康复治疗病房的13例中风患者,并对其进行了为期2个月的随访。在入院时对他们的身体和心理功能进行评估,并在2个月后评估这些功能与日常生活活动之间的关系。[结果] 入院2个月后的日常生活活动不仅与入院时的运动麻痹严重程度(R=-0.80)显著相关,还与心理功能(R=-0.69)显著相关。运动麻痹严重程度与心理功能之间未发现显著相关性。[结论] 在患者入住康复治疗病房后,立即评估心理功能和运动麻痹严重程度非常重要。未来应考虑进行心理健康干预,以有效改善后续的日常生活活动。