Melamed S, Ring H, Najenson T
Scand J Rehabil Med Suppl. 1985;12:129-33.
A follow-up study of 40 hemiplegic patients two years after discharge from hospital was aimed at (a) identifying variables capable of predicting general functional ability in everyday life (work, home, family and social life) and (b) examining the relationship between levels of functioning and subjective evaluation of their rehabilitation state. The results showed that a composite measure of functioning ability was closely related to self-reports of satisfaction in significant areas of life: physical well-being, emotional security, satisfaction of family and social needs and vocational self-actualization. The best objective predictor of overall domestic and outdoor functioning was the primary ADL (eating, dressing, bathing, etc.). Other significant variables were ambulation (walking freely for 300 meters), sustaining mental load and emotional acceptance of disability. Predisposing and concurrent diseases (such as congestive heart failure, diabetes mellitus, hypertension and others) were not found to be of predictive value. The findings thus obtained could provide the physician with a good prognostic tool to evaluate the rehabilitation outcome of hemiplegic patients. They also suggested that intervention aimed at emotional acceptance of disability could facilitate the rehabilitation process.
一项针对40名偏瘫患者出院两年后的随访研究旨在：（a）确定能够预测日常生活中总体功能能力（工作、家庭、家庭和社会生活）的变量；（b）研究功能水平与其康复状态主观评价之间的关系。结果表明，功能能力的综合指标与生活重要领域的自我满意度报告密切相关：身体健康、情绪安全感、家庭和社会需求满意度以及职业自我实现。总体家庭和户外功能的最佳客观预测指标是基本日常生活活动能力（进食、穿衣、洗澡等）。其他重要变量包括步行（自由行走300米）、承受精神负荷以及对残疾的情绪接受度。未发现易患疾病和并发疾病（如充血性心力衰竭、糖尿病、高血压等）具有预测价值。由此获得的研究结果可为医生提供一个评估偏瘫患者康复结果的良好预后工具。研究结果还表明，旨在使患者从情绪上接受残疾的干预措施可能会促进康复进程。
