《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (01): 22-23.

• 脑卒中康复 • 上一篇    下一篇

初发脑卒中早期ADL与身体心理变量相关性研究

区丽明; 谭杰文; 许俭兴; 伍少玲   

  1. 中山医科大学孙逸仙纪念医院康复医学科 广东广州市 510120
  • 收稿日期:2001-05-31 出版日期:2002-01-25 发布日期:2002-01-25

The relationship between ADL and the physiopsychic variables of the first stroke patients at early recovery stage

OU Li-ming,TAN Jie-wen, XUJian-xing, et al   

  1. Department of Rehabilitation Medicine, Sun Yet-Sen MemorialHospital, Guangzhou 51020,Guangdong,China
  • Received:2001-05-31 Published:2002-01-25 Online:2002-01-25

摘要: 目的探讨初发脑卒中患者恢复早期日常生活活动能力(ADL)与其身体心理变量之间的关系。方法评定 48例初发脑卒中患者在急性期和恢复早期的ADL、运动功能、神经功能缺损程度、认知水平和抑郁水平,分析ADL与各变量间的相关性。结果脑卒中患者恢复期ADL与其急性期的运动功能、神经功能缺损程度、认知水平有非常高度显著相关性(P<0.001),同时,也与患者的病灶数目、偏瘫严重程度和受教育程度有显著相关性(P<0.05)。结论脑卒中患者急性期的运动功能、神经功能缺损程度和认知水平对患者早期ADL有重要的预测价值,患者的病灶数目、偏瘫程度和受教育程度对恢复早期的ADL有一定的影响。

关键词: 初发脑卒中, 日常生活活动能力, 身体心理变量, 预测

Abstract: ObjectiveTo study the relationship between the activity of daily living (ADL) and the physiopsychic variables of the patients at early recovery stage after first stroke. Methods ADL and the motion activities, the deficient degree of nerve function, the cognitive function and the depressive degree of the 48 patients at early recovery stage after first stroke were evaluated. ResultsThere are significant relationship between ADL at early recovery stag and the motion activities, the deficient degree of nerve function, the cognitive function of the patients at acute period(P<0.01). Meanwhile, there are also relationship between ADL and the number of the cerebral lesion, the hemiplegic degree and the education degree of the patients (P<0.05) at early recovery stage.Conclusions The motion activities, the deficient degree of nerve function and the cognitive function of the stroke patients at acute stage are the important predictive factors to ADL of the patients at early recovery stage, and the number of the cerebral lesion, the hemiplegic degree and the educational level of the patients maybe influence ADL of the patients at the early recovery stage.

Key words: first stroke, activity of daily living(ADL), physiopsychi variable, prediction