Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Occupational Therapy, Musculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Occup Ther Int. 2021 Feb 27;2021:6675680. doi: 10.1155/2021/6675680. eCollection 2021.
Instrumental activities of daily livings are important for independent living and active participation in the community. The present study is aimed at determining factors predicting instrumental activities of daily living performance in patients with stroke.
In this cross-sectional study, a convenient sample of 90 patients with stroke entered from five occupational therapy centers, which were selected based on the cluster randomization method. Lawton IADL scale, Barthel Index, Trail Making Test (A and B), Digit span subtest of Wechsler memory scale, Motorcity index, and Beck Depression Inventory-II were used to investigate the study's aim. Statistical analyses were performed using independent sample -test, one-way ANOVA, Pearson correlation, and multiple linear regression analysis.
Age ( = -0.384, < 0.001), memory ( = 0.565, < 0.001), basic activities of daily living ( = 0.818, < 0.001), depression ( = -0.758, < 0.001), Trial Making Test ( = -0.614, < 0.001), and motoricity index ( = 0.670, < 0.001) were significantly associated with instrumental activities of daily living performance.
Basic activities of daily living were the strongest predictor of IADL's performance. Age, TMT , and depression were orderly the next strongest predictors. Stroke patients with more dependency in basic activities of daily living, older age, cognitive impairment, and depression are more opted to be dependent in instrumental activities of daily living and as a result, less participation in home and community affairs.
日常生活活动能力是独立生活和积极参与社区的重要组成部分。本研究旨在确定预测脑卒中患者日常生活活动能力的因素。
本横断面研究纳入了 90 名来自 5 个职业治疗中心的脑卒中患者，采用整群随机抽样法选择这些患者。采用 Lawton IADL 量表、巴氏指数、连线测试（A 和 B）、韦氏记忆量表数字跨度分测验、Motorcity 指数和贝克抑郁量表-II 来调查研究目的。采用独立样本 t 检验、单因素方差分析、Pearson 相关分析和多元线性回归分析进行统计分析。
年龄（ = -0.384， < 0.001）、记忆力（ = 0.565， < 0.001）、日常生活活动基本能力（ = 0.818， < 0.001）、抑郁（ = -0.758， < 0.001）、连线测试 B（ = -0.614， < 0.001）和运动能力指数（ = 0.670， < 0.001）与日常生活活动能力表现显著相关。
日常生活活动基本能力是日常生活活动能力表现的最强预测因素。年龄、TMT 和抑郁依次是第二强的预测因素。日常生活活动基本能力依赖程度较高、年龄较大、认知障碍和抑郁的脑卒中患者更有可能依赖日常生活活动能力，因此参与家庭和社区事务的程度较低。
