Department of Rehabilitation Medicine, Weill Cornell Medicine.
Department of Psychiatry, Weill Cornell Medicine.
Int J Rehabil Res. 2022 Dec 1;45(4):359-365. doi: 10.1097/MRR.0000000000000552. Epub 2022 Oct 17.
Patient engagement during inpatient rehabilitation is an important component of rehabilitation therapy, as lower levels of engagement are associated with poorer outcomes. Cognitive deficits may impact patient engagement during inpatient stroke rehabilitation. Here, we assess whether patient performance on the cognitive tasks of the 30-min National Institute of Neurologic Disorders and Stroke - Canadian Stroke Network (NINDS-CSN) screening battery predicts engagement in inpatient stroke rehabilitation. Prospective data from 110 participants completing inpatient stroke rehabilitation at an academic medical center were utilized for the present analyses. Cognitive functioning was assessed at inpatient stroke rehabilitation admission using the NINDS-CSN cognitive battery. Patient engagement was evaluated at discharge from an inpatient rehabilitation unit using the Hopkins Rehabilitation Engagement Rating Scale. The results demonstrate that the NINDS-CSN cognitive battery, specifically subtests measuring executive functioning, attention and processing speed, predicts patient engagement in inpatient stroke rehabilitation. Cognitively impaired patients undergoing rehabilitation may benefit from modifications and interventions to increase engagement and improve functional outcomes.
患者在住院康复期间的参与度是康复治疗的一个重要组成部分，因为参与度较低与康复效果较差相关。认知缺陷可能会影响住院脑卒中康复期间的患者参与度。在这里，我们评估了患者在 30 分钟国家神经疾病和中风研究所-加拿大中风网络（NINDS-CSN）筛查电池的认知任务中的表现是否可以预测其对住院脑卒中康复的参与度。目前的分析利用了来自在学术医疗中心接受住院脑卒中康复的 110 名参与者的前瞻性数据。使用 NINDS-CSN 认知电池在住院脑卒中康复入院时评估认知功能。使用霍普金斯康复参与评分量表在从住院康复病房出院时评估患者参与度。结果表明，NINDS-CSN 认知电池，特别是测量执行功能、注意力和处理速度的子测试，可以预测患者对住院脑卒中康复的参与度。接受康复治疗的认知受损患者可能受益于修改和干预措施，以增加参与度并改善功能结局。
