在中风幸存者中,住院康复设施和家庭之间日常活动表现的差异
Emily Somerville1, Gabrielle Blenden1, Danielle Kretzer2
1Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Neurorehabilitation and neural repair
|April 11, 2024
概括
与住院康复设施相比,中风幸存者在家中的日常活动表现更差. 环境因素对放出后的功能产生重大影响,突出显示了康复后支持的差距.
科学领域:
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
- 职业疗法 职业疗法 职业疗法
背景情况:
- 卒中幸存者在从住院康复中出院后,经常经历日常活动表现的下降.
- 在临床环境和家庭中的功能能力之间的差异仍然不太清楚.
- 了解这种过渡对于改善长期恢复和独立至关重要.
研究的目的:
- 调查住院康复设施 (IRF) 与出院时的家庭环境之间日常活动表现的差异.
- 量化环境对中风幸存者的功能结果的影响.
主要方法:
- 来自随机对照试验的基线数据的横截面分析.
- 包括50岁以上的中风幸存者从IRF出院回家.
- 使用功能独立度量和GG部分代码,转换为国际功能分类,残疾和健康分数,在3天内在家和IRF进行评估.
主要成果:
- 在国内,活动绩效得分明显低于IRF放任.
- 超过40%的参与者在出院时表现出轻度损伤,但在家中对转移和楼梯谈判中表现出中度至严重的损伤.
- 淋浴/浴转移和楼梯谈判显示了环境之间的最大得分差异.
结论:
- 家庭环境显著影响中风幸存者的功能活动表现.
- 环境因素是中风后成功重新融入社区的关键决定因素.
- 需要进一步的研究来探索环境修改和支持战略,以弥合IRF和家庭功能之间的差距.
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