Faculty of Care and Rehabilitation, Seijoh University, Tokai, Japan.
Rehabilitation unit, Azuma Rehabilitation Hospital, Nagoya, Japan.
J Stroke Cerebrovasc Dis. 2022 Jul;31(7):106524. doi: 10.1016/j.jstrokecerebrovasdis.2022.106524. Epub 2022 Apr 28.
We aimed to cross-sectionally examine and clarify the types of higher brain functions associated with toileting independence in post-stroke inpatients.
From November 2017 to October 2020, 51 participants were selected from a database of post-stroke inpatients in a Japanese hospital; the selected participants had missing data. The objective variable was the independence of toileting and toilet transfer in the Functional Independence Measure; independence was set at 6 points or more. The covariates were age, sex, and Berg balance scale score; the explanatory variables were higher brain functions of four items (forward digit span, visual cancelation task [VCT] correctness rate, symbol digit modalities test score, and Kohs block design test score). Logistic regression analysis was performed using multiple imputation and Bayesian modeling.
VCT correctness rate was significantly associated with toileting independence in the best model selected (odds ratio 1.16; 95% credible interval 1.02, 1.49).
Selective attention (assessed by VCT correctness rate) may be associated with, and predict, toileting independence in post-stroke inpatients.
本研究旨在通过横断面研究，明确与脑卒中后患者如厕自理能力相关的高级脑功能类型。
本研究从日本某医院脑卒中患者的数据库中选取 2017 年 11 月至 2020 年 10 月间的 51 名患者作为研究对象，这些患者存在缺失数据。因变量为功能性独立测量中的如厕和转移的独立性，设定独立性得分为 6 分或以上。协变量为年龄、性别和伯格平衡量表评分，解释变量为 4 项高级脑功能（顺向数字广度、视觉消除任务[VCT]正确率、符号数字模态测试评分和科赫方块设计测试评分）。采用多重插补和贝叶斯模型进行逻辑回归分析。
在最佳模型中，VCT 正确率与如厕自理能力显著相关（比值比 1.16；95%可信区间 1.02，1.49）。
选择性注意（通过 VCT 正确率评估）可能与脑卒中后患者的如厕自理能力相关，并可预测其如厕自理能力。
