Kim Seung Han, Shin Yong-Il, Kim Seung Chan, Ko Sung Hwa, Kim Deog Young, Lee Jongmin, Sohn Min Kyun, Lee Sam-Gyu, Oh Gyung-Jae, Lee Yang-Soo, Joo Min Cheol, Han Eun Young, Han Junhee, Chang Won Hyuk, Min Ji Hong, Kim Yun-Hee
Department of Rehabilitation Medicine, School of Medicine, Pusan National University, Yangsan, Korea.
Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
Brain Neurorehabil. 2019 Sep 30;13(1):e1. doi: 10.12786/bn.2020.13.e1. eCollection 2020 Mar.
The objective of this study was to investigate factors affecting the return home one year after a stroke. The subjects of this study consisted of patients who participated in a large-scale multi-objective cohort study of initial stage stroke patients who were admitted to 9 representative hospitals in Korea. We analyzed the distribution of the subjects who had experienced stroke a year earlier by distinguishing the group who returned home and the other group that was hospitalized in rehabilitation hospitals. Based on this distribution, we evaluated the demographic, environmental, clinical, and psychological factors that can affect the return home. Overall, there were 464 subjects in the 'Return home' group and 99 subjects in the 'Rehabilitation hospitalization' group. job status, inconvenient housing structures, residential types, diagnosis, Functional Ambulation Categories, modified Rankin Scale, Korea-Modified Barthel Index, Function Independence Measure, Fugl-Meyer Assessment, Korean version of Mini-Mental State Examination, Korean version of Frenchay Aphasia Screening Test, Psychosocial Well-being Index-Short Form, Geriatric Depression Scale-Short Form, EuroQol-five Dimensional showed a significant difference between the 2 groups one year after the stroke. The factors affecting the return home one year after a stroke include functional status, activities of daily living, cognition, depression, stress, quality of life, job status. It is expected that factors affecting the rehabilitation of patients with stroke can be considered as basic data for establishing rehabilitation goals and treatment plans.
本研究的目的是调查影响中风一年后回家的因素。本研究的对象包括参加韩国9家代表性医院对初期中风患者进行的大规模多目标队列研究的患者。我们通过区分回家的组和在康复医院住院的另一组,分析了一年前经历过中风的对象的分布情况。基于这种分布,我们评估了可能影响回家的人口统计学、环境、临床和心理因素。总体而言,“回家”组有464名对象,“康复住院”组有99名对象。工作状态、住房结构不便、居住类型、诊断、功能性步行分类、改良Rankin量表、韩国改良Barthel指数、功能独立性测量、Fugl-Meyer评估、韩国版简易精神状态检查表、韩国版Frenchay失语症筛查测试、心理社会幸福感指数简表、老年抑郁量表简表、欧洲五维健康量表在中风一年后两组之间存在显著差异。影响中风一年后回家的因素包括功能状态、日常生活活动、认知、抑郁、压力、生活质量、工作状态。预计影响中风患者康复的因素可作为制定康复目标和治疗计划的基础数据。