A functional recovery profile for patients with stroke following post-acute rehabilitation care in Taiwan
A functional recovery profile for patients with stroke following post-acute rehabilitation care in Taiwan
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DOI：
10.1016/j.jfma.2019.05.013
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发表时间：
2020-01-01
影响因子：
3.2
通讯作者：
Tsai, Sen-Wei
中科院分区：
文献类型：
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作者：
Chien, Sou-Hsin;Sung, Pi-Yu;Tsai, Sen-Wei
背景：脑卒中患者常出现功能障碍。虽然已经提出了中风后功能恢复的进展，但急性中风后的恢复情况并没有得到很好的描述。本研究的目的是探讨功能恢复中风患者进入急性期后康复careers.Methods：一项回顾性队列研究收集了数据的患者谁进入中风急性期后护理（PAC）程序。招募了95例卒中后患者，改良Ranking量表（mRS）评分为3-4分，转诊至急性期后监护室进行强化康复。患者在入院时和出院前接受功能、生活质量和神经心理学评估测试。出院前的测试分数被用作结果变量，并与入院时的测试分数进行比较，以显示功能rebability.Results：平均住院时间为58.15天。经过强化康复干预后，观察到所有测试分数均显着改善。此外，一个显着的去除率鼻胃管（p = 0.000）和Foley导管（p = 0.003）被发现在discharity.Conclusion：本研究表明，PAC康复单位是有益的急性脑卒中患者有功能障碍。研究结果可能需要进一步的调查，以确定和开发更好的模式，在中风PAC单位提供康复。版权所有（C）2019台湾医学会出版社：Elsevier Taiwan LLC
Background: Functional impairment is frequently seen in patients with stroke. Although the progression of functional recovery after stroke has been proposed, the recovery profile after acute stroke is not well described. The objective of this study is to investigate functional recovery in stroke patients entering post-acute rehabilitation care.Methods: A retrospective cohort study collected the data of patients who entered the stroke Post-acute Care (PAC) programs. Ninety-five patients after stroke with a modified Ranking Scale (mRS) score of 3-4 who were referred to a post-acute care unit for intensive rehabilitation were recruited. The patients underwent functional, quality of life, and neuropsychological evaluation tests at admission and before discharge. The test scores before discharge were used as outcome variables and were compared with the test scores at admission to show functional recovery.Results: The average length of stay was 58.15 days. After an intensive rehabilitation intervention, significant improvements were observed in all test scores. Additionally, a significant removal rate for nasogastric tubes (p = 0.000) and Foley catheters (p = 0.003) was found at discharge.Conclusion: This study showed that the PAC rehabilitation unit was beneficial for patients with acute stroke who had functional impairments. The study results may call for further investigation to identify and develop better models for the delivery of rehabilitation in the stroke PAC unit. Copyright (C) 2019, Formosan Medical Association. Published by Elsevier Taiwan LLC.