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中风康复:重复巴氏指数测量分析

Stroke rehabilitation: analysis of repeated Barthel index measures.

作者信息

Granger C V, Dewis L S, Peters N C, Sherwood C C, Barrett J E

出版信息

Arch Phys Med Rehabil. 1979 Jan;60(1):14-7.

PMID:420565
Abstract

Functional abilities of stroke patients in a rehabilitation hospital are recorded every 2 weeks using the Barthel index. For purposes of this study, data were collected retrospectively and prospectively from consecutive records according to predetermined criteria on forms coded for computer analysis. Total scores of 110 patients were correlated with length of stay, placement at discharge and scores in individual functional abilities. Analysis of the data reveals that an initial score over 40 on the Barthel index defines a population with a greater proportion of discharges to home and that patients with initial scores over 60 have a shorter length of stay. Further analysis indicates a predictable progression in the development of functional skills in this population so that with a Barthel score below 40, no one was independent in the mobility skills and fewer than 50% were independent in the very basic skills, such as feeding, grooming and sphincter control. A score of 60 appears to be a pivotal score where patients move from dependency to assisted independence.

摘要

康复医院的中风患者的功能能力每两周使用巴氏指数进行记录。在本研究中,根据预定标准,从连续记录中回顾性和前瞻性地收集数据,并记录在编码用于计算机分析的表格上。110名患者的总分与住院时间、出院安置情况以及各个功能能力得分相关。数据分析表明,巴氏指数初始得分超过40分的人群中,出院回家的比例更高,而初始得分超过60分的患者住院时间更短。进一步分析表明,该人群功能技能的发展具有可预测的进展,因此,巴氏评分低于40分时,没有人在移动技能方面能够独立,在诸如进食、洗漱和括约肌控制等非常基本的技能方面,能够独立的患者不到50%。60分似乎是一个关键分数,患者从依赖状态转变为辅助独立状态。

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Stroke rehabilitation: analysis of repeated Barthel index measures.中风康复:重复巴氏指数测量分析
Arch Phys Med Rehabil. 1979 Jan;60(1):14-7.
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