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预测脑卒中患者住院期间和出院后基本日常生活活动功能独立的因素。

Predictive factors of functional independence in basic activities of daily living during hospitalization and after discharge of stroke patients.

机构信息

Departamento de Fisioterapia, Laboratório de Intervenção e Análise do Movimento Humano, Universidade Federal do Rio Grande do Norte, Natal, Brasil.

Departamento de Fisioterapia, Faculdades Integradas de Patos (FIP), Patos, Brasil.

出版信息

Brain Inj. 2021 Jan 5;35(1):26-31. doi: 10.1080/02699052.2020.1861649. Epub 2020 Dec 28.

Abstract

: The aim of this study was to identify the predictive factors of functional independence in the basic activities of daily living during hospitalization, on the 10th and 28th day after stroke.: A total of 433 patients (204 men and 229 women) took part. Functional independence data were collected using the Step 1 from an instrument called Stepwise. Analysis was conducted by logistic regression.: Due to the OR values below 1.0 we can verify that the age of 59 years or less and the presence of physiotherapy in the hospital were protective factors of functional independence. Other predictive factors were the number of stroke risk factors (bathing: OR = 0.4; = .005, transfer: OR = 0.487; = .025), the amount of medication used before stroke (bathing: OR = 1.7; = .013), sex (grooming: OR = 1.6; = .026); type of stroke (continence: OR = 2.2; = .003-10th day; OR = 1.9; = .013-28th day), previous strokes (eating: OR = 0.5; = .036).: According to the results, the risk of impaired functional independence decreased in bathing and eating and increased for dressing, grooming and transfer during clinical recovery suggesting the need for greater therapeutic intervention in different basic activities of daily living.

摘要

: 本研究旨在确定住院期间、第 10 天和第 28 天基本日常生活活动功能独立的预测因素。共有 433 名患者(204 名男性和 229 名女性)参与。使用名为 Stepwise 的工具的 Step 1 收集功能独立数据。分析采用逻辑回归进行。由于 OR 值小于 1.0,我们可以验证 59 岁或以下的年龄和医院内存在物理治疗是功能独立的保护因素。其他预测因素包括中风危险因素的数量(洗澡:OR = 0.4; =.005)、中风前使用药物的数量(洗澡:OR = 1.7; =.013)、性别(修饰:OR = 1.6; =.026)、中风类型(大小便控制:OR = 2.2; =.003-第 10 天;OR = 1.9; =.013-第 28 天)和既往中风史(进食:OR = 0.5; =.036)。根据结果,在临床康复期间,洗澡和进食的功能独立受损风险降低,而穿衣、修饰和转移的风险增加,这表明需要在不同的基本日常生活活动中进行更大的治疗干预。

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