Association between the Cognitive-Related Behavioral Assessment Severity Stage and Activities of Daily Living Required for Discharge to Home in Patients with Stroke: A Cross-Sectional Study.
Association between the Cognitive-Related Behavioral Assessment Severity Stage and Activities of Daily Living Required for Discharge to Home in Patients with Stroke: A Cross-Sectional Study.
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DOI：
10.3390/ijerph20043005
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发表时间：
2023-02-09
影响因子：
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通讯作者：
Makizako, Hyuma
中科院分区：
文献类型：
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作者：
Maki, Yoshiaki;Morita, Akiko;Makizako, Hyuma
本研究旨在表征使用认知相关行为评估（CBA）在日常生活活动（ADL）中检查的认知功能。根据出院时 CBA 的严重程度，791 名患者被分为五组（最严重、严重、中度、轻度和正常）。比较每组的功能独立测量（FIM）运动项目的总分。进行多元逻辑回归分析以阐明 CBA 严重性与 ADL 项目独立性之间的关联。对于最重度至重度、中度、轻度和正常组的所有 ADL，根据 CBA 严重程度，每种 ADL 的独立性分别为 0–4.8%、26.8–45.0%、84.3–91.0% 和 97.2–100%。根据 CBA 严重程度，各组之间的 FIM 运动评分存在显着差异 (p < 0.01)。轻度或正常的 CBA 与上半身敷料（OR = 21.90；95% CI，13.50–35.70）、膀胱管理（OR = 11.60；95% CI，7.21–18.60）、转移到床/椅子/轮椅（OR = 18.30；95% CI， 11.40–29.40）、转移到厕所（OR = 18.30；95% CI，11.40–29.30）和步行（OR = 6.60；95% CI，10.60–26.10）。 CBA 严重程度大于轻度（23 分）与 ADL 的独立性相关，这对于出院回家很重要。
This study aimed to characterize cognitive function examined using Cognitive-related Behavioral Assessment (CBA) in activities of daily living (ADLs). According to CBA severity at discharge, 791 patients were assigned to five groups (most severe, severe, moderate, mild, and normal). The total scores for Functional Independence Measure (FIM) motor items were compared for each group. Multiple logistic regression analysis was performed to clarify the association between CBA severity and independence in ADL items. Independence in each ADL according to CBA severity was 0–4.8%, 26.8–45.0%, 84.3–91.0%, and 97.2–100% for all ADLs in the most severe to severe, moderate, mild, and normal groups, respectively. Significant differences were found in the FIM motor score according to CBA severity between the groups (p < 0.01). A mild or normal CBA was associated with a higher odds ratio (OR) for dressing the upper body (OR = 21.90; 95% confidence interval (CI), 13.50–35.70), bladder management (OR = 11.60; 95% CI, 7.21–18.60), transfers to the bed/chair/wheelchair (OR = 18.30; 95% CI, 11.40–29.40), transfers to the toilet (OR = 18.30; 95% CI, 11.40–29.30), and walking (OR = 6.60; 95% CI, 10.60–26.10). A CBA severity greater than mild (23 points) was associated with independence in ADLs that are important for discharge to home.