A study on the creation and validation of clinical pathway for ADL training of stroke patients

脑卒中患者ADL训练临床路径的创建与验证研究

• 批准号: 22790505
• 负责人: NAGAI Shota
• 金额: $ 2.5万
• 依托单位: Kinjo University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22790505/
• 关键词: 脳卒中; ADL; クリニカルパス; FIM; 回復期

In this study, in order to establish the clinical path for Activities of Daily Living (ADL) training, and utilizing Functional Independence Measure (FIM) we estimated the predictable goals (independence levels) of individual items of ADL and the time it would take to achieve them. The subjects were 1,479 hospitalized stroke patients admitted to a rehabilitation ward in the recovery period. Based on the totals of the FIM motor item scores on admission (FIMM), the patients were divided into 6 groups, and for each group, for each of the individual items of FIMM, we calculated the percentage of patients achieving independence, and analyzed the times needed to achieve independence. The degree of disability in ADL on admission shows characteristics of achievement of independence and time to achieve independence These results suggest that knowing a combination of these could serve as an index for ADL training of hospitalized hemiplegic stroke patients in rehabilitation wards in the recovery period.

为了建立日常生活活动能力（ADL）训练的临床路径，本研究利用功能独立性测量（Functional Independence Measure，ADL）对ADL各项目的可预测目标（独立性水平）以及达到这些目标所需的时间进行了估计。研究对象为1，479名住院中风患者，他们在恢复期入住康复病房。根据入院时运动障碍项目评分（FIMM）的总和，将患者分为6组，对于每组，对于FIMM的每个单独项目，我们计算患者达到独立的百分比，并分析达到独立所需的时间。入院时ADL的残疾程度表现出达到独立能力和达到独立能力时间的特点。这些结果提示，了解这两方面的结合可作为康复病房住院脑卒中偏瘫患者恢复期ADL训练的指标。