影响脑卒中患者日常生活活动能力预后的相关因素分析

Predictors of outcomes of activities of daily living in stroke patients

目的:探讨脑卒中偏瘫患者治疗前后影响日常生活活动(ADL)能力的相关因素。方法:选择可能对脑卒中患者临床预后有影响的因素,以入院康复治疗1个月后改良Barthel指数为标准,进行回顾性和多因素分析。入选病例为17例脑卒中偏瘫患者。结果:康复治疗1个月后患者的ADL能力主要与治疗前的ADL能力呈正相关,与年龄、发病天数、肺部感染、尿路感染、关节挛缩等呈负相关。结论:并发症的发生是脑卒中患者ADL能力恢复的主要影响因素。提示要积极预防并发症,并对患者的家属和护理人员进行康复护理教育。同时强调早期康复治疗对于促进脑卒中患者ADL能力的恢复是十分重要的。

Objective： To explore correlative factors with activities of daily living （ADL） and to identify predictors of outcomes of ADL in stroke patients. Method： One hundred and seventy-one stroke patients given rehabilitation program were retrospectively and muhiple-regressively analyzed. The assessments for stroke patients included Barthel index and other independent items. Result： After treatment, the level of ADL in stroke patients increased significantly from 39.80 to 56.64. As shown by stepwise multiple regression analysis, positive predictors for ADL after one month of rehabilitation program included ADL at admission rehabilitation; negative predictors included age, delayed time, pulmonary infection, urinary tract infection and contracture of joints. Conclusion： Complications after stroke might be a block factor for recovery of ADL. It is very necessary to improve education about consciousness of early rehabilitation for family member or nursing person.