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谁在住院康复中取得的进步最大?功能改善情况分析。

Who makes the most progress in inpatient rehabilitation? An analysis of functional gain.

作者信息

Carey R G, Seibert J H, Posavac E J

机构信息

Parkside Associates, Inc., Park Ridge, IL 60068.

出版信息

Arch Phys Med Rehabil. 1988 May;69(5):337-43.

PMID:3365113
Abstract

This study describes the functional gain made by 6,194 inpatients in 22 rehabilitation facilities in 1985 and 1986. Functional gain was measured by the Revised Level of Rehabilitation Scale (LORS-II). Results showed that age, length of stay, and functional ability at admission were all factors in patient progress, but not always in the way expected. Younger patients and those with a longer length of stay generally made more progress, but there were variations by impairment group. A curvilinear relationship between functional status at admission and functional gain was observed for several impairment groups. Head injury patients made the most functional gains. However, orthopedic patients made the most gains of all impairment groups when length of stay, age, functional ability at admission, and consistency of progress were considered.

摘要

本研究描述了1985年和1986年在22个康复机构中6194名住院患者所取得的功能改善情况。功能改善通过修订后的康复量表(LORS-II)进行测量。结果显示,年龄、住院时间和入院时的功能能力都是影响患者康复进程的因素,但情况并非总是如预期那样。较年轻的患者和住院时间较长的患者通常进步更大,但不同损伤组存在差异。在几个损伤组中观察到入院时的功能状态与功能改善之间呈曲线关系。头部受伤患者功能改善最大。然而,在考虑住院时间、年龄、入院时的功能能力和康复进程的一致性时,骨科患者在所有损伤组中进步最大。

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