老年人脑卒中后居家不出及生活自理能力评价

The assessment of ADL and the homebound status after brain stroke of the elders

目的探讨脑卒中患者合并居家不出以及生活自理能力状况。方法对唐山市四家三甲医院脑卒中康复出院时间大于6个月的患者,采用自行设计的一般状况调查表评价其一般状况、合并居家不出情况,功能独立性测评量表(FIM)评价其生活自理能力水平。结果研究对象高达28.4%的患者合并居家不出,与非居家不出者比较,日常生活能力低下(P<0.05)。结论脑卒中康复出院后患者常合并居家不出,该人群日常生活能力低下,影响了该人群晚年的健康水平和生活质量。

Objective To study the activities of daily living（ ADL） and the homebound status after brain stroke of the elders and provide evidences for improving the health care service of the community. Methods 218 brain stroke patients above 60 years old who had ever been admitted in the hospitals in Tangshan city were chosen,and the general situation,homebound or not,the ADL were investigated.Results 28. 4% of the applicants were in the situation of homebound,their ADL were also in a poor condition,as compared with the nonhomebound group（ P〈0. 05）. Conclusions The elders who experienced brain stroke and usually followed with homebound,have low level of ADL,medical staff in the hospitals and health care providers should pay more attention to this problem in order to improve the elder＇s quality of life.