Department of Rehabilitation, An Nan Hospital, China Medical University, Tainan 709204, Taiwan.
The Ph.D. Program for Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan.
Int J Environ Res Public Health. 2021 Dec 24;19(1):162. doi: 10.3390/ijerph19010162.
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case-control study-based on propensity score matching-we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton-Brody instrumental activities of daily living, Berg Balance Scale, 5-metre walking speed and 6-min walking distance, were determined. Data on the length of acute care, length of post-acute care, destination after discharge and 14-days readmission were used to evaluate the quality of medical care. The Wilcoxon signed-rank test was used to compare functional performance before and after rehabilitation. The pandemic group showed no significant improvement in the scores of EuroQoL-5 Dimension, a self-reported health status assessment ( = 0.13), with the anxiety or depression dimension showing a negative effect (r = 0.21). Post-acute care programmes can efficiently improve the functional performance of patients with stroke during the COVID-19 pandemic in Taiwan. Mental health should therefore be simultaneously maintained while rehabilitating physical function.
本研究旨在探讨 COVID-19 大流行期间台湾地区脑卒中患者的康复治疗质量和稳定性，包括其功能结局、心理健康和医疗护理。在这项基于倾向评分匹配的回顾性病例对照研究中，我们评估了 11 名在大流行期间（2021 年）入院的患者和 11 名在非大流行期间（2020 年）入院的患者。通过改良 Rankin 量表、巴氏指数、欧洲五维健康量表、Lawton-Brody 日常生活活动工具性量表、伯格平衡量表、5 米步行速度和 6 分钟步行距离等指标评估功能结局。急性护理时间、康复后护理时间、出院去向和 14 天内再入院数据用于评估医疗护理质量。采用 Wilcoxon 符号秩检验比较康复前后的功能表现。与康复前相比，大流行组在自我报告的健康状况评估（ = 0.13）的欧洲五维健康量表评分上没有显著改善，焦虑或抑郁维度呈负效应（r = 0.21）。在 COVID-19 大流行期间，台湾地区的脑卒中患者可通过康复治疗计划有效改善其功能表现。因此，在恢复身体功能的同时，还应同时维持心理健康。
