Environmental effects on WHODAS 2.0 among patients with stroke with a focus on ICF category e120
Environmental effects on WHODAS 2.0 among patients with stroke with a focus on ICF category e120
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DOI：
10.1007/s11136-014-0624-9
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发表时间：
2014-08-01
影响因子：
3.5
通讯作者：
Liou, Tsan-Hon
中科院分区：
文献类型：
--
作者：
Chang, Kwang-Hwa;Lin, Yen-Nung;Liou, Tsan-Hon
为探讨环境对卒中后人群残疾的影响，寻找WHO残疾评估表第二版(WHODAS2.0)评分的最佳概率界值，以预测卒中后遭遇国际功能、残疾和健康分类E120类别个人室内外活动和交通工具(PMT)障碍的人群。所有参与者对每个WHODAS 2.0项目进行环境干预(性能评分)和不进行任何干预(能力评分)。我们使用配对能力-表现得分差异来评估整体环境对参与者残疾的影响，评估每个参与者获得PMT的障碍(负PMT)，并使用接受者-操作特征曲线来预测PMT为负的患者。整个环境对中风后10%的老年人的活动和自我照顾起到障碍作用。综合指数绩效得分为千分之78.8分的老年患者和指数为千分之56.0分的年轻患者可能经历负PMT。可以使用PMT的老年患者有可能改善他们的日常活动能力，而年轻患者可以报告较少的残疾。改善PMT可及性的环境支持对于卒中后患者减少他们的残疾是重要的。
To explore the environmental effects on the disabilities of people post stroke and to search for the best probabilistic cut-off value of the WHO Disability Assessment Schedule second edition (WHODAS 2.0) scores to predict people post stroke experiencing an access barrier to the International Classification of Functioning, Disability and Health category e120 products and technology for personal indoor and outdoor mobility and transportation (PMT).We analyzed data of 162 younger (aged 18-64 years) and 202 older (aged a parts per thousand yen65 years) people post stroke from the databank of persons with disability between June 1, 2011 and February 29, 2012. All participants rated each WHODAS 2.0 item with environmental intervention (performance score) and without any intervention (capacity score). We used the paired capacity-performance score difference to assess the whole environmental effects on the participants' disability, evaluated each participant's access barrier to PMT (negative PMT), and used a receiver-operating characteristic curve to predict patients having a negative PMT.The whole environment acted as a barrier on mobility and self-care in > 10 % of older people post stroke. Older patients having a summary index performance score of a parts per thousand yen78.8 points and younger patients having an index of a parts per thousand yen56.0 points were likely to experience a negative PMT. Older patients who have an access to PMT were possible to improve their daily activities performance, and younger patients could report less disability.An environmental support to improve the PMT accessibility is important for people post stroke to reduce their disability.