轻度至中度中风后做家务频率的相关因素

Kohei Kusuda, R. Tanemura
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引用次数: 1

摘要

背景:虽然许多研究研究影响中风后日常生活工具活动的因素,但很少有研究研究影响中风后家务劳动的因素。本研究旨在探讨影响中风后家务劳动的因素。方法:对29例脑卒中患者进行随访,随访时间为入院至出院1个月。如果参与者在中风发作前能独立做家务,中风发作后能独立在医院行走,他们就被纳入研究范围。变量从人口统计学、身体功能、认知功能、心理功能和功能中选择。计算脑卒中后法国活动指数(FAI)家务劳动得分与各变量之间的Spearman相关性。结果:Timed Up和Go测验(r = 0.41, p = 0.03)、卒中自我效能问卷(r = 0.54, p < 0.01)和功能独立测量运动域(r = 0.57, p < 0.01)与FAI的家务家务域显著相关。与之前的研究不同,中风后的认知功能和抑郁也没有显示出与家务劳动的统计关系。结论:脑卒中患者在恢复身体和认知功能的同时,还需要提高自我效能感。这一结果也与以往关于自我效能感与功能关系的研究结果相一致。
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Factors Associated with the Frequency of Doing Domestic Chores After Mild to Moderate Stroke
: Background: While many studies research factors that affect Instrumental Activities of Daily Living after stroke, few studies research factors that affect domestic chores after stroke. This study aims to investigate factors that affect domestic chores after stroke. Methods: In this cohort study, 29 stroke patients were followed from the time they entered the rehabilitation ward to one month after discharge. Participants were included if they had been independently doing domestic chores before stroke onset and were independently walking inside the hospital after stroke onset. Variables were selected from demographics, physical function, cognitive function, psychological function, and functioning. The Spearman correlation between the domestic chores score of the Frenchay Activities Index (FAI) after stroke and variables was calculated. Results: The Timed Up and Go test ( r = 0.41, p = 0.03), the Stroke Self-Efficacy Questionnaire ( r = 0.54, p < 0.01) and the Functional Independence Measure motor domain ( r = 0.57, p < 0.01) were significantly associated with the domes tic chores domain of the FAI. Unlike previous studies, cognitive function and depression also didn’t show a statistical relationship with domestic chores after stroke. Conclusion: Our results show that stroke patients should improve their self-efficacy to resume domestic chores after stroke, in addition to physical and cognitive functions. The results are also consistent with previous studies about the research relationship between self-efficacy and functioning.
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