影响脑卒中康复功能改善的因素研究。
An investigation of the factors that influence functional improvement in stroke rehabilitation.
机构信息
Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Alanya Alaaddin Keykubat University, Antalya, Turkey
出版信息
Turk J Med Sci. 2021 Jun 28;51(3):1448-1454. doi: 10.3906/sag-2101-94.
BACKGROUND/AIM: The purpose of this study was to determine effect of age, sex, affected extremity, disability severity, treatment type, cerebrovascular accident (CVA) etiology, number of treatment sessions, and CVA duration on the functional improvement of the stroke patients who participated in a physical medicine and rehabilitation program.
MATERIALS AND METHODS
The research sample consisted of 322 stroke patients. Clinical and demographic features including age, sex, affected extremity, disability severity, treatment type, CVA etiology, number of treatment sessions, and CVA duration were recorded. Functional status was evaluated retrospectively by using the functional independence measure (FIM) at admission and discharge.
RESULTS
It was detected that discharge FIM score of the patients exhibited an increase of significance level (p < 0.05). It was found that age, number of treatment sessions, CVA duration and FIM admission score were determinative parameters in FIM gain level (p < 0.05) while sex, affected extremity, and CVA etiology were not effective in FIM gain level (p > 0.05).
CONCLUSION
Results show that functional improvement after rehabilitation was better in the younger ages, shorter CVA durations and moderate functional disturbances. The findings obtained may be useful for stroke rehabilitation triage.
背景/目的：本研究旨在确定年龄、性别、患侧肢体、残疾严重程度、治疗类型、卒中病因、治疗次数和卒中持续时间对参加物理医学与康复项目的卒中患者功能改善的影响。
材料和方法
研究样本包括 322 例卒中患者。记录了临床和人口统计学特征，包括年龄、性别、患侧肢体、残疾严重程度、治疗类型、卒中病因、治疗次数和卒中持续时间。功能状态通过入院和出院时的功能独立性测量（FIM）进行回顾性评估。
结果
发现患者出院时的 FIM 评分显著增加（p<0.05）。年龄、治疗次数、卒中持续时间和 FIM 入院评分是 FIM 增益水平的决定因素（p<0.05），而性别、患侧肢体和卒中病因对 FIM 增益水平没有影响（p>0.05）。
结论
结果表明，康复后功能改善在年龄较小、卒中持续时间较短和中度功能障碍的患者中更好。这些发现可能对卒中康复分诊有用。
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