Hachisuka K, Tsutsui Y, Furusawa K, Ogata H
Department of Rehabilitation Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Arch Phys Med Rehabil. 1998 Aug;79(8):998-1002. doi: 10.1016/s0003-9993(98)90101-0.
To examine whether there were differences in lifestyle and performance of activities of daily living (ADL) between men and women in a population of elderly stroke patients.
Case-comparison study.
Sixty-eight men and 34 women who were elderly stroke patients living in the community with a spouse or family members were evaluated with the self-rating Barthel Index (SRBI), Frenchay Activities Index (FAI), Stroke Impairment Assessment Set (SIAS), Functional Independence Measure (FIM), and a pedometer for physical activity. Control subjects, 30 men and 30 women, were assessed with the FAI.
Among the stroke subjects, there were no significant differences in age, SRBI, motor score of the SIAS, or physical activity between men and women; however, men had significantly lower values than did women for three FIM items and the total FIM score and for 6 FAI items and the total FAI score. Among control subjects, men had significantly lower values than did women for 7 FAI items and the total FAI score (Tukey's test, p < .05).
Among elderly stroke patients, men received more support from family members in ADL performance and had less active lifestyles than did women, possibly because of cultural gender roles.
研究老年中风患者群体中男性与女性在生活方式及日常生活活动（ADL）表现方面是否存在差异。
病例对照研究。
对68名男性和34名女性老年中风患者进行评估，这些患者与配偶或家庭成员居住在社区，采用自评巴氏指数（SRBI）、法国ay活动指数（FAI）、中风损伤评估量表（SIAS）、功能独立性测量（FIM）以及用于身体活动的计步器。对30名男性和30名女性对照受试者采用FAI进行评估。
在中风患者中，男性与女性在年龄、SRBI、SIAS运动评分或身体活动方面无显著差异；然而，在FIM的3个项目、FIM总分、FAI的6个项目及FAI总分方面，男性的值显著低于女性。在对照受试者中，在FAI的7个项目及FAI总分方面，男性的值显著低于女性（Tukey检验，p <.05）。
在老年中风患者中，男性在ADL表现方面比女性从家庭成员那里获得更多支持，且生活方式不如女性积极，这可能是由于文化中的性别角色所致。
