The Disability Oriented Rehabilitation Unit - A Major Factor Influencing Stroke Outcome
The Disability Oriented Rehabilitation Unit - A Major Factor Influencing Stroke Outcome
复制标题
残疾人康复中心——影响中风结果的主要因素
作者：
J. Feigenson;H. Gitlow;S. D. Greenberg
许多研究者已经分析了心脏监护病房（作为一个残疾导向的模型，专门配备人员，地理隔离的单位）在改变急性心肌梗死后的结果的有效性。然而，关于在专门配备残疾人的单位中照顾中风患者的疗效的数据很少。最近从伯克康复中心出院的667例卒中患者中，589例入住卒中单元（SU组），78例入住其他单元（NSU组）。统计分析显示，SU患者明显较弱，发病-入院间隔较长，并表现出更多的并发医学问题和神经功能缺损。在年龄、性别和虚弱分布方面，组间差异无统计学意义。两组都有类似的治疗方案，由在卒中单元轮换的工作人员提供。两组进行日常生活活动（穿衣、进食、卫生、肠道和膀胱常规）的能力和住院时间相似。SU患者比NSU患者行走更好，回家更频繁。这些数据表明，即使在专门治疗功能性残疾的康复中心，中风患者更有可能改善，如果放在残疾导向单位比如果他们被接纳到混合残疾单位，分散在医院。
Many investigators have analyzed the effectiveness of the cardiac care unit (as a model of a disability oriented, specially staffed, geographically isolated unit) in altering outcome following acute myocardial infarction. Little data are available, however, on the efficacy of caring for patients with stroke on specially staffed disability oriented units. Of 667 patients with stroke recently discharged from the Burke Rehabilitation Center, 589 were admitted to the stroke unit (SU group) and 78 were admitted to other units (NSU group). Statistical analysis showed that the SU patients were significantly weaker, had longer onset-admission intervals, and exhibited more concurrent medical problems and neurologic deficits. There were no statistically significant intergroup differences in age, sex, and distribution of weakness. Both groups had similar treatment programs provided by staff who had rotated through the stroke unit. Ability to perform activities of daily living (dressing, feeding, hygiene, bowel and bladder routines) and length of hospitalization were similar for both groups. SU patients walked better and went home more frequently than NSU patients. These data indicate that even in a rehabilitation center specializing in treating functional disabilities, patients with stroke are more likely to improve if placed on a disability oriented unit than if they are admitted to mixed disability units which are scattered throughout the hospital.