腦中風(fēng)患者接受住院復(fù)健治療預(yù)后功能的研究

1、腦中風(fēng)患者承受住院復(fù)健治療預(yù)后功能的研究【英文標(biāo)題】ASTUDYFTHEPRGNSISNFUNTINALUTESFRSTRKEPATIENTSFLLINGREHABILITATINTHERAPY【關(guān)鍵詞】腦中風(fēng)Strke預(yù)后Prgnsis功能結(jié)果Funtinalutes復(fù)健治療Rehabilitatintherapy-【英文摘要】Thepurpsesfthisprspetivestudyeretinvestigatethelinialprfile,rehabilitatineffetivenessandthefuntinalutesatdisharge,tinvestigatepreditiv

2、evariablesflengthfrehabilitativestay,tidentifytheprgnstifatrsabutfuntinalindependeneandrehabilitatineffiienyand24%ftheahieveentfrehabilitatinptential.TheFugl-eyerBalaneSale(FBS)sreatadissinauntedfr6%fthevariatininlengthfstay,nedegraphiinflueneserentrlled.TheFIeffiienysreuldpssiblybepreditedbythebala

3、neabilityatNeurlgialSale(NS)andFIsresinthepreditinffuntinalindependeneutefrstrkesurvivrsfllingrehabilitatintherapy.fthe151subjetssurveyedatleast6-nthfll-upvisitafterdisharge,23(15.2%)patientshadbeenlivinginlng-terareinstitutins.hethertheyhad(1)libsbilaterallyaffeted,(2)ipairedrientatin,r(3)prstandin

4、gabilityatdishargeerethestrngestpreditrsflng-terareinstitutinutilizatinfrstrkepatientsfllingrehabilitatintherapy.FIinstruentandFrenhayAtivitiesIndex(FAI)asprehensiveassessentfAtivitiesfDailyLiving(ADL)ereeasuredatleast6nthsfllingthensetfstrke.SignifiantdiffereneserebservedintheFAIsubsre(destihres,ut

5、drativities,andleisure/rkativities)beteenprestrkeandpststrkestatusatintervie.FAIsresatprestrkeandpststrkestatuserenegativelyrrelated(r=-0.24,p0.05;r=-0.35,p0.001)ithage;FAIsreaspsitivelyrrelated(r=0.58,p0.001)ithFIsre.ThefindingsindiatedthatFAIsreisusefulasaquantitativeindexfthelifestylehangentheprg

6、nsisfrstrkepatients.-【目錄】目錄博士論文總摘要13AbstratfDissertatin47第一章緒論：前言、文獻(xiàn)討論及本研究目的和規(guī)畫1-114第二章腦中風(fēng)患者的臨床數(shù)據(jù)和功能恢復(fù)情況的研究2-116第三章腦中風(fēng)患者復(fù)健治療預(yù)后的初步研究3-124第四章初次中風(fēng)病人復(fù)健治療的效率和效果4-118第五章腦中風(fēng)患者住院時平衡才能和預(yù)后功能的關(guān)系5-113第六章影響腦中風(fēng)患者復(fù)健治療住院天數(shù)長短的因素6-116第七章影響腦中風(fēng)患者預(yù)后功能獨(dú)立的因素7-116第八章影響腦中風(fēng)患者預(yù)后使用長期照護(hù)機(jī)構(gòu)的因素8-116第九章腦中風(fēng)患者預(yù)后生活型態(tài)改變的追蹤研究9-117第十章結(jié)論：

7、研究成果與將來展望10-113附錄一：功能獨(dú)立自主量表(FuntinalIndependeneeasure,FI)附錄二：福格-米勒平衡量表(Fugl-eyerBalaneSale,FBS)附錄三：加拿大神經(jīng)量表(anadianNeurlgialSale,NS)附錄四：芙蘭切活動量表(FrenhayAtivitiesIndex,FAI)附錄五：本研究相關(guān)論文發(fā)表成果表目錄INDEXFTABLE表2-1.163位中風(fēng)病患的根本人口學(xué)數(shù)據(jù)Degraphidataf163strkepatients表2-2.住院期間臨床診斷檢查和評估數(shù)據(jù)linialanddiagnstifatrsf163strkep

8、atients表2-3.住院期間功能獨(dú)立量表主要工程得分和進(jìn)步量FuntinaliprveentnsubsaleandttalFIsreduringinpatientrehabilitatin表2-4.承受復(fù)健治療前后步行及生活才能獨(dú)立狀況的人數(shù)比較parisnfnuberfpersnsithabulatinandADLindependenefllingrehabilitatintherapy表3-1.147位中風(fēng)病患的根本人口學(xué)數(shù)據(jù)Degraphidataf147strkepatients表3-2.住院期間臨床診斷檢查和評估數(shù)據(jù)linialanddiagnstifatrsf147strkep

9、atients表3-3.住院期間功能獨(dú)立量表主要工程得分和進(jìn)步量FuntinaliprveentnsubsaleandttalFIsreduringinpatientrehabilitatin表3-4.皮爾森相關(guān)系數(shù)分析序位/等距變項和預(yù)后功能的間的相關(guān)性Pearsnrrelatinfrrdinal/intervalvariablesnsideredinpreditingfuntinalute表3-5.Studentst-test檢定類別變項和預(yù)后功能結(jié)果的間的差異性Studentst-testfrninalvariablesnfuntinalutefstrkepatients表3-6.類別變

10、項和預(yù)后功能的間的變異數(shù)分析Analysisfvarianefrninalvariablesnfuntinalute表3-7.復(fù)回歸分析預(yù)測中風(fēng)病人出院FI量表得分的結(jié)果ultipleregressinanalysispreditingdishargeFIsre表3-8.復(fù)回歸分析預(yù)測中風(fēng)病人FI量表進(jìn)步量的結(jié)果ultipleregressinanalysispreditingFIiprveent表4-1.110位初次中風(fēng)病患的根本人口學(xué)和臨床診斷檢查數(shù)據(jù)linialanddegraphidataffirst110strkepatients表4-2.住院期間功能獨(dú)立量表主要工程得分和進(jìn)步量Fu

11、ntinaliprveentnsubsaleandttalFIsreduringinpatientrehabilitatin表4-3.皮爾森相關(guān)系數(shù)分析序位/等距變項和預(yù)后功能的間的相關(guān)性Pearsnrrelatinanalysisbeteenrdinal/intervalvariablesandrehabilitatinute表4-4.Studentst-test檢定類別變項和預(yù)后功能結(jié)果的間的差異性DifferenebeteenninalvariablesandrehabilitatinuteasassessedbyStudentst-test表4-5.復(fù)回歸分析預(yù)測110位初次中風(fēng)病人復(fù)

12、健治療的效率和效果ultipleregressinanalysespreditingrehabilitatinutein110patientsithfirststrke表5-1.163位中風(fēng)病患的根本數(shù)據(jù)Basidataf163strkepatients表5-2.皮爾森相關(guān)系數(shù)分析平衡才能和住院時FI量表得分及預(yù)后功能間的相關(guān)性PearsnsrrelatinanalysesbeteenbalanesreandFIsreandrehabilitatinute表5-3.復(fù)回歸分析剛住院時平衡才能得分和預(yù)后功能結(jié)果的關(guān)系ultipleregressinanalysesbeteenadissinbal

13、anesreandrehabilitatinutes表6-1.中風(fēng)病患的根本數(shù)據(jù)(n=163)Basidataf163strkepatients表6-2.Pearsn相關(guān)系數(shù)檢定住院天數(shù)長短和等距變項的相關(guān)性Pearsnrrelatinanalysisbeteenrdinal/intervalvariablesandlengthfrehabilitatinstay表6-3.Studentst-test檢定住院天數(shù)長短和類別變項的差異性DifferenebeteenninalvariablesandlengthfrehabilitatinstayasassessedbyStudentst-tes

14、t表6-4.相關(guān)影響因素對住院天數(shù)長短的復(fù)回歸分析ultipleregressinanalysespreditinglengthfrehabilitatinstay表7-1.中風(fēng)病人預(yù)后功能獨(dú)立與否兩組間相關(guān)變項的差異性比較parisnfprspetivefatrsbeteenpatientsithfuntinalindependenerdependene表7-2.預(yù)后功能獨(dú)立與否的影響因素及關(guān)聯(lián)程度的檢定Assiatinsbeteenprspetivefatrsandfuntinalindependene表7-3.影響中風(fēng)病患預(yù)后功能獨(dú)立與否的最正確預(yù)測因子Seletedpreditrsin

15、flueningfuntinalindependeneute表8-1.151位中風(fēng)病患的根本數(shù)據(jù)Basidataf151strkepatients表8-2.出院后使用長期照護(hù)機(jī)構(gòu)的影響因素及關(guān)聯(lián)程度的檢定Assiatinsbeteenprspetivefatrsandutilizatinflng-terareinstitutin表8-3.影響中風(fēng)病患出院后使用長期照護(hù)機(jī)構(gòu)的最正確預(yù)測因子Seletedpreditrsinflueningutilizatinflng-terareinstitutin表9-1.104位首次中風(fēng)病患的根本數(shù)據(jù)Basidataf104firststrkepatient

16、s表9-2.中風(fēng)患者芙蘭切活動量表分?jǐn)?shù)變化情形FAIhangensubsaleandttalsrebeteenprestrkeandpst-strke表9-3.類別變項對于中風(fēng)患者出院至少半年后FAI量表得分退步的影響DifferenebeteenninalvariablesandFAIhangeasassessedbyStudentst-test表9-4.中風(fēng)病發(fā)前和出院至少半年后訪視時FAI量表得分及退步量與年齡、教育年限及訪視時FI量表分?jǐn)?shù)的相關(guān)性PearsnsrrelatinbeteenprestrkeFAIsre,pst-strkeFAIsreatvisit,andFAIhangeandage,theyearsfeduatin,andFIsreatvisit圖目錄INDEXFFIGURE圖1-1.研究體系構(gòu)造：中風(fēng)病人復(fù)健治療預(yù)后預(yù)測因子和功能結(jié)果Researhfraerk：preditrsandfuntinalutes