Singer F
Rehabilitation (Stuttg). 1987 Feb;26(1):1-7.
156 stroke patients were followed-up over a period of up to twelve months from the event. During that period they had participated repeatedly, or continually, in comprehensive inpatient rehabilitation programmes at the Bad Schallerbach rehabilitation centre, Austria. The services provided were characterized by a comprehensive medical, vocational and social orientation. Rehabilitation outcome assessment related to personal functioning levels (ADL performance, intellectual functioning, communication, social behaviour, etc.) as well as the basic working capacity. Based on medical findings, the results stated toward the end of our comprehensive rehabilitative efforts showed improvements of personal functioning by about 66 percent, and attainment of a basic working capacity in 22 percent of the patients. Outcomes varied for the different causes of stroke; three patients had died during the observation period due to renewed stroke. The principles to be observed in comprehensive rehabilitation are discussed, with special emphasis on those in stroke rehabilitation.
156名中风患者自发病起接受了长达12个月的随访。在此期间,他们反复或持续参与了奥地利巴德沙勒巴赫康复中心的综合住院康复项目。所提供的服务具有全面的医疗、职业和社会导向特点。康复结果评估涉及个人功能水平(日常生活活动能力表现、智力功能、沟通、社会行为等)以及基本工作能力。根据医学检查结果,在我们全面康复工作接近尾声时得出的结果显示,约66%的患者个人功能得到改善,22%的患者获得了基本工作能力。中风不同病因的康复结果各异;观察期内有3名患者因再次中风死亡。本文讨论了综合康复中应遵循的原则,尤其着重于中风康复的原则。