Characteristics of disability in stroke patients (measured by the FIM)

中风患者的残疾特征（通过 FIM 测量）

基本信息

批准号：
10838036
负责人：
CHINO Naoichi
金额：
$ 2.11万
依托单位：
Keio University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

项目摘要

We investigated some characteristics of stroke patients, considered the variables : length of stay, Functional Independence Measure (FIM) score at hospitalization and discharge, length of time from the onset, and FIM gain. We calculated the FIM efficiency per month. The subjects were 164 inpatients with stroke. Their average age was 54.4 years. Of the 164 patients, 68 had had cerebral infarction, 80 had had cerebral hemorrhage and 16 had had subarachnoid hemorrhage. Seventy three had sustained damage in their left hemisphere, 91 in their right. An average of 114.5 months had passed since they had suffered from stroke. Their mean length of stay was 108.7 days.The average FIM score at hospitalization was 84.0±19.6 and that at discharge was 101.7±17.8. There was no significant difference in FIM score among different types of disease both at hospitalization and discharge. But it was higher in patients with subcortical lesion than those with cortical lesion. And it was lower in patients with hemispatial neglect or patients whose Mini Mental State Examination scores were lower than 21. The length of stay tended to be longer in patients whose FIM score at hospitalization was low and FIM gain was high. The FIM gain was usually high during the early stage of hospitalization, but it could be seen even in the late stage. We found that although the length of stay was not short, even the patients who had a low FIM score could make FIM gain with proper rehabilitation exercise.There were several stroke patients whose FIM score decreased after they went back to the community, especially those whose FIM motor score at discharge was in the seventies. We guessed that one of the reasons for this reduction was unnecessary help of the patients by the family. Education for the patient's family on how to care for disabled people in their home is important to the success of community based rehabilitation.

我们研究了中风患者的一些特征，考虑了变量：住院时间的长度，功能独立性度量（FIM）在住院和出院时得分，发作时间的时间长度以及FIM增益。我们计算了每月FIM效率。受试者是164名中风的住院患者。他们的平均年龄为54.4岁。在164例患者中，有68例患有脑梗塞，有80例患有脑出血，有16例患有蛛网膜下腔出血。七十三在左半球持续了损坏，右侧有91个。自从他们中风以来，平均已经过去114.5个月了。住院时的平均FIM评分为84.0±19.6，出院时的FIM得分为101.7±17.8。住院和出院时，不同类型疾病的FIM评分均无显着差异。但是皮质病变的患者比皮质病变患者高。在半专利阴性患者或迷你心理状态检查评分低于21的患者中，它的住院时间较长，其招标的时间更长，患者的FIM评分较低且FIM增长很高。在住院初期，FIM的收益通常很高，但即使在后期也可以看到。我们发现，尽管住院时间并不短，但即使是FIM得分较低的患者也可以通过适当的康复运动来增加FIM的增长。有几名中风患者回到社区后，他们的FIM评分下降，尤其是那些在七十年代出院时的FIM运动得分。我们猜测，减少这种减少的原因之一是家庭对患者的不必要帮助。对患者家庭如何照顾家庭中的残疾人的教育对于基于社区的康复成功至关重要。