Life Space Assessment in Stroke Patients
Life Space Assessment in Stroke Patients
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中风患者的生活空间评估
DOI：
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发表时间：
2017
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通讯作者：
Jongmin Lee
中科院分区：
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作者：
You;Bo;Kyeong Eun Uhm;S. Kim;Seunghwan Lee;M. Oh;Jongmin Lee
目的 采用韩国版生活空间评估（K-LSA）问卷评估脑卒中患者实际生活空间的信度，并评估K-LSA与身体功能、日常活动、生活质量、脑卒中后抑郁的关系。方法将LSA问卷翻译成韩文，翻译版本经LSA问卷作者授权。在一项横断面研究中，对 34 名中风患者（20 名男性和 14 名女性；平均年龄 65.11±2.39 岁）进行了 K-LSA 的性能评估，这些患者在评估时正在大学医疗中心康复医学部门诊接受物理和职业治疗。一名考官每隔两周对表演进行两次评估，以测试可靠性。使用功能性步行类别 (FAC) 量表、功能独立测量 (FIM) 量表和 FIM 的移动性子量表对患者进行评估，以评估他们与 K-LSA 的关系。还使用 EuroQol 5 Dimensions 问卷 (EQ-5D) 和老年抑郁量表 (GDS) 对他们进行评估，以确定与生活质量和中风后抑郁的关系。结果 第一次（62.20±32.14）和第二次（63.15±32.22）评估的重测信度为0.993（p<0.01）。 K-LSA 显示出与 FAC（r=0.848，p<0.01）、FIM（r=0.765，p<0.01）、FIM 移动类别（r=0.764，p<0.01）、GDS（r=-0.657，p<0.01）和 EQ-5D（r=0.506，p<0.01）显着相关。结论 本研究表明，通过 K-LSA 评估的中风后患者的实际生活空间与患者的功能活动能力、日常活动的独立性、生活质量和抑郁具有显着相关性。
Objective To evaluate the reliability of the practical life space in post-stroke patients using the Korean version of the Life-Space Assessment (K-LSA) questionnaire and to assess the relationships between the K-LSA and physical function, daily activity, quality of life, and post-stroke depression. Methods The LSA questionnaire was translated into Korean, and the translated version was authorized by the author of the LSA questionnaire. In a cross-sectional study, the performance of the K-LSA was evaluated in 34 stroke patients (20 males and 14 females; mean age 65.11±2.39 years) who were receiving physical and occupational therapy at the outpatient clinic in the rehabilitation medicine department of a university medical center at the time of evaluation. Performances were assessed twice by one examiner at a 2-week interval to test the reliability. The patients were evaluated using the Functional Ambulation Category (FAC) scale, Functional Independence Measure (FIM) scale, and mobility subscale of the FIM to assess their relationships with the K-LSA. They were also evaluated using the EuroQol 5 Dimensions questionnaire (EQ-5D) and Geriatric Depression Scale (GDS) to determine the relationship with quality of life and post-stroke depression. Results Test-retest reliability at the first (62.20±32.14) and second (63.15±32.22) assessment was 0.993 (p<0.01). The K-LSA showed significant correlations with the FAC (r=0.848, p<0.01), FIM (r=0.765, p<0.01), mobility category of the FIM (r=0.764, p<0.01), GDS (r=-0.657, p<0.01), and EQ-5D (r=0.506, p<0.01). Conclusion This study suggests that the practical life space of post-stroke patients, assessed by the K-LSA, has a significant correlation with patients' functional mobility, independence in daily activity, quality of life, and depression.