Using the Functional Independence Measure instrument to predict stroke rehabilitation outcomes.
Using the Functional Independence Measure instrument to predict stroke rehabilitation outcomes.
复制标题
使用功能独立测量工具来预测中风康复结果。
DOI：
10.1002/j.2048-7940.1999.tb02151.x
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Cheryl Bartlett
中科院分区：
文献类型：
--
作者：
Terrie Black;Thomas Soltis;Cheryl Bartlett
本文所述研究的目的是确定影响脑卒中患者出院目的地的因素。234名中风患者入院的康复设施超过2年的时间进行了检查。功能独立性测量（functional independence Measure，简称FIA）数据被用来检查功能状态、人口统计学特征和出院目的地。使用卡方统计分析患者出院时的焦虑评分与其出院地点之间的关系。结果表明，出院时职能指令手册评分80分及以上对患者出院回家具有较高的特异性和敏感性。此外，对离群值进行了分析，结果显示，只有20%的出院回家的患者的家庭成员在工作，而65%的出院到专业护理机构的患者的家庭成员在工作。非工作的家庭成员的可用性和家庭提供监督和物质援助的能力更可能是与患者出院回家有关的因素。90%出院回家的病人家属能够提供监督和物质援助。因此，功能状态和社会因素，如家庭可用性和支持，是预测该患者人群出院目的地的关键因素。
The purpose of the study described in this article was to identify the factors that have an impact on stroke patients' discharge destination. Two hundred thirty-four stroke patients admitted to a rehabilitation facility over a 2-year period were examined. Functional Independence Measure (FIM) data were used to examine functional status, demographic characteristics, and the discharge destination of patients admitted to the facility's program. The relationship between patients' FIM scores at discharge and their discharge locations was analyzed using the chi-square statistic. The results showed that a discharge FIM score of 80 or above had a high specificity and sensitivity with patients' discharge to their homes. In addition, outliers were analyzed, and the results showed that family members of only 20% of the patients who were discharged to their homes were working, in contrast to 65% of the family members of patients who were discharged to a skilled nursing facility. The availability of a nonworking family member and the ability of a family to provide supervision and physical assistance were more likely to be factors related to discharge of patients to their homes. Ninety percent of the families of patients discharged to their homes were able to provide supervision and to provide physical assistance. Thus, both functional status and social factors, such as family availability and support, are critical elements in predicting the discharge destination of this patient population.