脑中风患者接受住院复健治疗预后功能的研究

7; 26.3 at
discharge. The mean rehabilitation efficiency (0.7 ± 0.7) and
effectiveness (
30.6 ± 24.0%) of stroke rehabilitation were determined. Rehabilitation
efficiency and rehabilitation effectiveness were significantly predicted
by
length of rehabilitation stay and arm motor recovery stage, and by age and
arm
motor recovery stage, respectively. The variance explained only 21% of the

rehabilitation efficiency and 24% of the achievement of rehabilitation
potential.
The Fugl-Meyer Balance Scale (FMBS) score at admission accounted for 6% of
the
variation in length of stay, once demographic influences were controlled.
The
FIM efficiency score could possibly be predicted by the balance ability at

admission, which accounted for 3% of the variance. However, the balance
score
could not provide predictive information about the FIM gain with
demographic
factors controlled. These findings suggest that the use of FMBS at
admission
to stroke inpatient rehabilitation seemed not to enhance the ability to
predict rehabilitation outcomes.
Admission FIM score, shoulder subluxation, bilateral limbs involvement and
the
level of education significantly predicted length of stay (LOS). But, the
variance of the LOS was explained only 21.5%. The results of this study
suggest that these objective predictors can be used as the basis of
reimbursement for stroke rehabilitation in case payment system in the
future.
Of the 142 subjects surveyed at least 6-month follow-up visit after
discharge,
23 (16.2%) stroke patients had been functional independence outcome at
home.
The results of this study suggest the usefulness of the admission Canadian

Neurological Scale (CNS) and FIM scores in the prediction of functional
independence outcome for stroke survivors following rehabilitation
therapy.
Of the 151 subjects surveyed at least 6-month follow-up visit after
discharge,
23 (15.2%) patients had been living in long-term care institutions.
Whether
they had (1) limbs bilaterally affected, (2) impaired orientation, or (3)
poor
standing ability at discharge were the strongest predictors of long-term
care
institution utilization for stroke patients following rehabilitation
therapy.
FIM instrument and Frenchay Activities Index (FAI) as comprehensive
assessment
of Activities of Daily Living (ADL) were measured at least 6 months

following
the onset of stroke. Significant differences were observed in the FAI
subscore (domestic chores, outdoor activities, and leisure/work
activities)
between prestroke and poststroke status at interview. FAI scores at
prestroke
and poststroke status were negatively correlated (r =- 0.24, p < 0.05;
r=-0.
35, p<0.001) with age; FAI score was positively correlated (r = 0.58, p <
0.
001) with FIM score. The findings indicated that FAI score is useful as a
quantitative index of the lifestyle change on the prognosis for stroke
patients.

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【 目 录 】
目　录
博士论文总摘要　1~3
Abstract of Dissertation　　 4~7
第一章 绪论：前言、文献探讨及本研究目的和规画　　　　1-1~14
第二章 脑中风患者的临床数据和功能恢复情况的研究　　　2-1~16
第三章 脑中风患者复健治疗预后的初步研究3-1~24
第四章

《脑中风患者接受住院复健治疗预后功能的研究(第2页)》