腦中風病人復健入院時平衡能力與出院時日常生活功能之關聯
Relationship between Balance at Rehabilitation Admission and ADL Function at Discharge in Stroke Patients
| 中文摘要
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目的：早期預測中風病人出院時之ADL功能有助於復健目標與治療計
畫的訂定。本研究目的在探討中風病人復健入院時坐姿平衡與出院時
日常生活功能之相關性，並比較入院時坐姿平衡、整體平衡能力等變
項對於出院時日常生活功能之預測能力。
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材料與方法：38位中風病人於復健入院時接受整體平衡(Berg Balance Scale)、坐姿平衡(Fugl-Meyer
Motor Assessment中之坐姿平衡項目)及日常生活功能(Barthel Index)評
量，出院時再接受日常生活功能評量。所得資料先以Pearson r檢驗入
院時坐姿平衡、整體平衡、及年齡等人口學變項與出院時日常生活功
能之關聯程度，再以逐步迴歸分析檢驗上述變項與出院時日常生活功能之關聯程度。
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結果：入院時坐姿平衡能力不是出院時日常生活功能的良好預測因子，整體平衡能力與年齡則是為較佳的預測因子(p = 0.001)。
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結論：綜合整體平衡能力與年齡二變項，可達到預測病人出院時之日常生活功能(R2 = 0.58)。
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| English Abstract
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Objective: Early prediction of activities of daily living (ADL) function at
discharge is a critical factor that enables clinicians to set treatment programs
and goals. The objective of this study was to assess the relationship between
sitting balance at rehabilitation admission and ADL function at discharge for
stroke patients admitted to a rehabilitation unit. We also compared sitting
balance and total balance at admission to ADL function at discharge.
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Materials and Methods: Thirty-eight stroke patients admitted to our
rehabilitation unit were tested for total balance (using the Berg Balance
Scale), sitting balance (using the Fugl-Meyer balance subscale), and ADL
function (using the Barthel Index) at admission. The Barthel Index was also
reevaluated in all patients at discharge. The data were tested using Pearson's
correlation (r) to determine the relationships between ADL function at
discharge and the following variables: admission total balance, admission
sitting balance, and demographics. Stepwise regression analysis was used to
examine the relationship between these variables and ADL function at discharge.
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Results: In this study, sitting balance at admission was not a good
predictor of ADL function at discharge in stroke patients. Admission balance
and age were the best predictors for it.
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Conclusion: We propose that the
combination of these two factors at admission might be a good predictor for
patients' ADL function at discharge in stroke units (R2 = 0.58).
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