Evensen Janne, Soberg Helene Lundgaard, Sveen Unni, Hestad Knut A, Bronken Berit Arnesveen
Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Gjøvik, Norway.
Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
J Multidiscip Healthc. 2020 Oct 9;13:1121-1132. doi: 10.2147/JMDH.S259151. eCollection 2020.
The primary aim of this study was to investigate the applicability of the Patient-Specific Functional Scale (PSFS) in patients with acquired brain injury (ABI) admitted to a specialized rehabilitation unit in a regional hospital. A secondary aim was to identify patient characteristics and functioning that predicted changes in the PSFS.
In a cohort study, 59 patients with ABI were assessed for the ability to complete the PSFS. A trained multidisciplinary team applied the PSFS as part of a collaborative development of rehabilitation goals. The modified Rankin Scale (mRS), the Functional Ambulation Categories (FAC), the Rivermead Behavioural Memory Test (RBMT), the Norwegian Basic Aphasia Assessment (NBAA) and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) were used to identify characteristics of the sample. Multivariate regression analyses were performed to investigate associations between changes in the PSFS score from admission to discharge and a selected set of participant baseline characteristics and functioning.
Fifty-four patients (92%) of the patients with ABI were able to complete the PSFS. The five (8%) who were unable to complete the PSFS had severe cognitive or language impairment. The PSFS score improved by a mean of 2.6 (SD 2.0) points from admission to discharge. The LOTCA score made the strongest unique contribution to explain the change in the PSFS score (beta = 0.477, p= 0.020).
In the present study, most patients with ABI (92%) were able to complete the PSFS. Cognitive function on admission was a predictor of improved functioning on the PSFS.
本研究的主要目的是调查特定患者功能量表（PSFS）在一家地区医院的专科康复病房收治的后天性脑损伤（ABI）患者中的适用性。次要目的是确定预测PSFS变化的患者特征和功能状况。
在一项队列研究中，对59例ABI患者完成PSFS的能力进行了评估。一个经过培训的多学科团队将PSFS作为康复目标协作制定的一部分来应用。采用改良Rankin量表（mRS）、功能步行分类（FAC）、里弗米德行为记忆测试（RBMT）、挪威基本失语症评估（NBAA）和洛温斯坦职业疗法认知评估（LOTCA）来确定样本的特征。进行多变量回归分析，以研究从入院到出院期间PSFS评分的变化与一组选定的参与者基线特征和功能状况之间的关联。
59例ABI患者中有54例（92%）能够完成PSFS。5例（8%）无法完成PSFS的患者有严重的认知或语言障碍。从入院到出院，PSFS评分平均提高了2.6（标准差2.0）分。LOTCA评分对解释PSFS评分的变化贡献最大（β=0.477，p=0.020）。
在本研究中，大多数ABI患者（92%）能够完成PSFS。入院时的认知功能是PSFS功能改善的一个预测指标。
