脑卒中患者专科康复后离院时日常生活活动能力及影响因素研究

doi:10.12183/j.scjpm.2022.0041

摘要/Abstract

摘要： 目的探讨脑卒中患者专科康复后离院时日常生活活动能力（ADL）情况及其相关影响因素。方法以2019年6月至2020年12月海安市某医院康复科收治的脑卒中患者为研究对象,于患者专科康复后离院时对ADL状况进行评估,并采用单、多因素方法对ADL影响因素进行分析。结果 523例脑卒中患者专科康复后的ADL评分为（62.23±18.27）分,其中ADL评分（<60分）较差的脑卒中患者比例为28.49%。多因素Logistic回归分析结果显示,年龄（OR=1.861）、BMI<18.5 kg/m²（OR=1.379）和≥24.0 kg/m²（OR=1.119）、家庭月收入（OR=0.666）、康复疗程（OR=0.870）、康复介入时间（OR=4.740）、抑郁情况（OR=6.123）、认知障碍（OR=3.031）、康复参与度（OR=0.123）、医患关系一般（OR=0.393）和医患关系好（OR=0.264）均是脑卒中患者专科康复后ADL评分<60分的影响因素。结论脑卒中患者专科康复离院时ADL仍较差,早期提前预防和干预影响脑卒中患者专科康复结局的影响因素,是提高脑卒中患者专科康复后ADL效果的有效手段。

关键词: 脑卒中, 专科康复, 日常生活活动能力, 影响因素

Abstract: Objective To investigate the activities of daily living （ADL） and its related factors in stroke patients when they discharging from the hospital after specialist rehabilitation. Methods Taking stroke patients admitted to the rehabilitation department of a hospital in Hai’an from June 2019 to December 2020 as the research object, the ADL status was evaluated when the patients were discharged from the hospital after the specialist rehabilitation, and univariate and multivariate analysis methods were used to analyze the influencing factors of ADL. Results The ADL score of 523 stroke patients after specialist rehabilitation was （62.23 ± 18.27）, of which the proportion of stroke patients with poor ADL score （<60） was 28.49%. Multivariate Logistic regression analysis showed that age （OR=1.861）, body mass index<18.5 kg/m² （OR=1.379） and ≥ 24.0 kg/m² （OR=1.119）, family monthly income （OR=0.666）, rehabilitation course （OR=0.870）, rehabilitation intervention time （OR=4.740）, depression （OR=6.123）, cognitive impairment （OR=3.031）, rehabilitation participation （OR=0.123）, general doctor-patient relationship （OR=0.393） and good doctor-patient relationship （OR=0.264） were influencing factors of ADL score<60 after specialist rehabilitation of stroke patients. Conclusion The ADL of stroke patients is still poor when they discharge from the hospital after specialist rehabilitation. Early prevention and intervention of the influencing factors that affect the outcome of specialist rehabilitation of stroke patients is an effective means to improve the ADL effect of stroke patients after specialist rehabilitation.

Key words: Stroke, Specialist rehabilitation, Activities of daily living, Influencing factor

中图分类号:

R161.7

汤文洁, 张云, 崔广梅, 赵婷婷. 脑卒中患者专科康复后离院时日常生活活动能力及影响因素研究[J]. 华南预防医学, 2022, 48(1): 41-45.

TANG Wen-Jie, ZHANG Yun, CUI Guang-mei, ZHAO Ting-ting. Activities of daily living and its influencing factors of stroke patients when discharging from the hospital after specialist rehabilitation[J]. South China Journal of Preventive Medicine, 2022, 48(1): 41-45.

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