社区融合及其中风患者的预测因素:一个多中心纵向研究
Jiang-Li Zhao1, Lian-Dong Ma2, Xiang Xiao3
1Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. zhaojl6@mail.sysu.edu.cn.
Journal of rehabilitation medicine
|April 25, 2024
概括
一年后,中风幸存者的社区融入情况有所改善,尽管水平仍然很低. 更好的融入的关键预测因素包括年龄,教育,平衡和日常生活能力.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 脑卒中显著影响患者重新融入社区的能力.
- 了解影响社区融合的因素对于有效的康复策略至关重要.
研究的目的:
- 在一年的随访中调查中风患者的社区融入水平.
- 确定中风后社区整合的预测因素.
主要方法:
- 一项多中心,纵向的观察性研究,涉及中国65名中风住院患者.
- 最初的评估包括社区融合问卷 (CIQ),Fugl-Meyer评估 (FMA),Berg平衡量 (BBS),修改的巴特尔指数 (MBI),迷你精神状态检查 (MMSE) 和修改的阿什沃思量表 (MAS).
- 一年后通过电话进行的后续评估包括CIQ和与疾病相关的条件.
主要成果:
- 从初始评估到一年的随访,CIQ得分显著增加 (p < 0.05).
- 随访时的CIQ得分与初始年龄,教育,MBI,BBS和MMSE得分相关 (p <0.05).
- 年龄,教育,MBI,BBS,MMSE和FMA得分预测了随访时的CIQ得分 (R2范围:0.056-0.254,p <0.05).
结论:
- 卒中幸存者表现出较低的社区融入,但在出院后的一年后情况有所改善.
- 平衡功能和日常生活活动是中风后社区整合的重要预测因素.
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