视觉空间疏忽在老年人中风康复中的患病率,严重程度和影响,一个横截面研究
Martine S Bosma1, Monique A A Caljouw2, Wilco P Achterberg2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands; Zorggroep Florence, Rijswijk, the Netherlands; University Network for the Care sector Zuid-Holland, Leiden University Medical Center, Leiden, the Netherlands.
Journal of the American Medical Directors Association
|August 27, 2023
概括
视觉空间疏忽 (VSN) 影响近一半的老年中风患者在老年康复中,严重阻碍了他们的康复和回家. 早期的VSN查对于有效的康复规划至关重要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 老年病的医生 老年病的医生
背景情况:
- 视觉空间疏忽 (VSN) 是一种常见的中风后认知缺陷,影响日常生活.
- 在接受老年康复 (GR) 的老年人中,VSN的患病率数据有限.
- VSN可能会影响康复的结果,包括回家.
研究的目的:
- 确定入院于GR的中风患者中VSN的患病率.
- 调查VSN严重程度和患者特征之间的关联.
- 评估VSN对功能,停留时间和排放目的地的影响.
主要方法:
- 在GR中对114名中风患者进行了多中心横截面研究.
- 在前两周内进行了三次VSN测试 (明星取消,线截面,凯瑟琳·贝尔盖戈尺度).
- 计算了VSN严重程度的复合得分.
主要成果:
- 在GR中风患者中,VSN的患病率为47.4%.
- 患有VSN的患者有更长的GR停留时间 (68.5 vs 35.5天) 和更少的回家.
- VSN的严重程度与流动性,认知功能和自我护理独立性降低相关.
结论:
- 在老年康复中风患者中,VSN非常普遍.
- VSN显著阻碍日常活动和康复,带来重大个人和社会后果.
- 建议使用多个查测试进行系统的,早期的VSN评估.
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