STROKE RECOVERY - HE CAN BUT DOES HE

STROKE RECOVERY - HE CAN BUT DOES HE
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DOI:
10.1093/rheumatology/18.1.43
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发表时间:
1979-01-01
期刊:
RHEUMATOLOGY AND REHABILITATION
影响因子:
--
通讯作者:
STEWART, J
STEWART, J
中科院分区:
其他
文献类型:
--
作者:
ANDREWS, K;STEWART, J

文献摘要

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摘要:我们对29名在日间医院老年科住院的连续中风患者进行了评估,发现患者在病房中能做的事情与在家中能做的事情存在差异。在25-45%的病例中,日常生活的每项活动在家庭环境中表现不佳。在52%的病例中,主要护理人员声称患者在家中没有做两项或两项以上患者在日间医院能够做的活动。这与中风的特征无关,而更多地与患者及其主要护理人员的态度有关。开始治疗较晚的患者在家里的表现也不如在康复病房的好。这些研究结果强调了对主要护理人员和患者进行培训的必要性,并建议可能需要更多以家庭为导向的康复。
SUMMARYOn assessing 29 consecutive stroke patients attending the Day Hospital of the Geriatric Unit it was found that there was a difference in what the patient could do in the unit and did do at home. Each activity of daily living was less well performed in the home situation in 25-45% of cases.In 52% of cases the chief carer claimed that the patient did not do two or more activities at home which the patient was capable of in the Day Hospital. This was not related to the features of the stroke but more to the attitude of the patient and his chief carer. Patients starting therapy late also did less well at home than in the rehabilitation unit. These findings emphasize the need to train the chief carer as well as the patient and also suggest the possible need for more home-orientated rehabilitation.