Norris-Baker C, Stephens M A, Rintala D H, Willems E P
Arch Phys Med Rehabil. 1981 Dec;62(12):602-8.
This study explores relationships between behavior of spinal cord injured persons during hospitalization and their medical and behavioral status after discharge. It illustrates a logic for identifying, selecting and testing indicators of patient performance that predict important aspects of outcome. Key behavioral measures were obtained for 14 patients, including independence, diversity, level of activity, and mobility. Factor analysis and multiple regression analysis were used to identify significant predictors of outcome. A subset of inhospital measures predicted an estimated 39% of the variance in unscheduled readmissions to the rehabilitation center, and 70% of the variance in independent functioning after discharge. Inhospital mobility predicted an estimated 68% of the variance in the rate of activities performed outside the home. In general, measures obtained late in hospital stays were the best predictors of both medical and behavioral status. Patient behavior during hospitalization can have practical implications for planning health care services and clinical practice.
本研究探讨脊髓损伤患者住院期间的行为与其出院后的医疗和行为状况之间的关系。它阐明了一种用于识别、选择和测试预测结果重要方面的患者表现指标的逻辑。对14名患者进行了关键行为测量，包括独立性、多样性、活动水平和移动性。采用因子分析和多元回归分析来确定结果的显著预测因素。一部分住院测量指标预测了康复中心非计划再入院率中约39%的方差，以及出院后独立功能中70%的方差。住院期间的移动性预测了在家外进行活动率中约68%的方差。总体而言，住院后期获得的测量指标是医疗和行为状况的最佳预测因素。住院期间患者的行为对于规划医疗保健服务和临床实践具有实际意义。
