Carter L T, Oliveira D O, Duponte J, Lynch S V
Southeastern Massachusetts University, North Dartmouth.
Am J Occup Ther. 1988 Jul;42(7):449-55. doi: 10.5014/ajot.42.7.449.
This article reports on two studies that examine the relationship between measurements of activities of daily living (ADL) and cognitive skills performance. Study 1 is a post hoc analysis of ADL improvement scores collected on acute stroke patients who were either given or not given cognitive skills remediation. An examination of individual ADL scores showed significantly higher personal hygiene, bathing, and toilet activity improvement scores for patients receiving cognitive skills remediation. In Study 2, cognitive skills and ADL pre- and posttest scores for stroke patients were measured by occupational therapists, who also implemented an ADL as well as a cognitive skills remediation program as part of the patient's therapy. Some significant positive correlations between initial cognitive skills measurements and ADL outcome were found. The best correlate of patients' ADL performance at discharge was performance on an auditory attention task. Verbal comprehension correlated with overall ADL improvement, and overall cognitive skills improvement correlated with overall ADL improvement. Implications of these two studies are discussed.
本文报道了两项研究，这些研究考察了日常生活活动（ADL）测量与认知技能表现之间的关系。研究1是对急性中风患者的ADL改善分数进行的事后分析，这些患者接受或未接受认知技能补救。对个体ADL分数的检查显示，接受认知技能补救的患者在个人卫生、洗澡和如厕活动方面的改善分数显著更高。在研究2中，职业治疗师测量了中风患者的认知技能以及ADL的测试前和测试后分数，他们还实施了一个ADL以及认知技能补救计划作为患者治疗的一部分。在初始认知技能测量与ADL结果之间发现了一些显著的正相关。患者出院时ADL表现的最佳相关因素是听觉注意力任务的表现。言语理解与ADL总体改善相关，而总体认知技能改善与ADL总体改善相关。文中讨论了这两项研究的意义。
