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.

我们调查了中风患者的一些特征，考虑了以下变量：住院时间、住院和出院时的功能独立测量 (FIM) 评分、发病时间长度以及 FIM 增益。我们计算了受试者每月的 FIM 效率。 164例脑卒中住院患者，平均年龄54.4岁，其中脑梗塞68例，脑出血80例，蛛网膜下腔16例。 73 人左半球受损，91 人中风，平均住院时间为 108.7 天。住院时的平均 FIM 评分为 84.0±19.6。出院时FIM评分为101.7±17.8，住院时和出院时不同疾病类型FIM评分无显着差异。皮质下病变患者的住院时间较皮质病变患者低，半侧空间忽视患者或简易精神状态检查评分低于21分的患者住院时间较长。住院时FIM评分较低的患者住院时间较长。 FIM增益在住院初期通常较高，但即使在住院后期也能看到，尽管住院时间不短，但即使是FIM较低的患者。分数可以使适当的康复锻炼可以提高FIM。有几位中风患者回到社区后FIM评分下降，尤其是出院时FIM运动评分在70左右的患者，我们猜测这种下降的原因之一是不必要的帮助。对患者家属进行有关如何在家中照顾残疾人的教育对于社区康复的成功非常重要。