CAJ | 학술논문

目的探讨老年脑卒中患者长期康复结局.方法入院康复治疗的老年初发脑卒中恢复期患者25例,于住院时、出院时、出院后6个月及1年时分别采用简易精神状态检查(MMSE)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、偏瘫侧肢体Brunnstrom分级、修订Ashworth痉挛评定量表(MAS)、偏瘫侧踝关节活动度(ROM)、双侧股四头肌徒手肌力(MMT)、Berg平衡量表(BBS)、改良巴氏指数(BI)、Zarit护理负担指数(ZBI)进行评定.结果经过3个月左右康复治疗及训练,出院时,患者偏瘫侧下肢Brunnstrom分级、上肢MAS改善(P<0.05),ROM、BBS、BI及ZBI改善(P<0.05).出院后6~12个月,肢体运动功能指标相对稳定,而BBS、MMSE、BI、SAS、ZBI改善,SDS有波动(P<0.05).结论在鼓励患者尽早回归家庭或社区的同时,应强调出院后坚持康复训练和接受定期指导,并进行心理支持和干预.
목적탐토노년뇌졸중환자장기강복결국.방법입원강복치료적노년초발뇌졸중회복기환자25례,우주원시、출원시、출원후6개월급1년시분별채용간역정신상태검사(MMSE)、억욱자평량표(SDS)、초필자평량표(SAS)、편탄측지체Brunnstrom분급、수정Ashworth경련평정량표(MAS)、편탄측과관절활동도(ROM)、쌍측고사두기도수기력(MMT)、Berg평형량표(BBS)、개량파씨지수(BI)、Zarit호리부담지수(ZBI)진행평정.결과경과3개월좌우강복치료급훈련,출원시,환자편탄측하지Brunnstrom분급、상지MAS개선(P<0.05),ROM、BBS、BI급ZBI개선(P<0.05).출원후6~12개월,지체운동공능지표상대은정,이BBS、MMSE、BI、SAS、ZBI개선,SDS유파동(P<0.05).결론재고려환자진조회귀가정혹사구적동시,응강조출원후견지강복훈련화접수정기지도,병진행심리지지화간예.
Objective To investigate the long-term outcome of old stroke patients after rehabilitation. Methods 25 old hospitalized pa-tients with first attack of stroke in recovery were followed up with Mini-mental Status Examination (MMSE), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Brunnstrom stages of hemiplegia, modified Ashworth scale (MAS), range of motion (ROM) in hemiplegic ankle, manual muscle test (MMT) of quadriceps femoris, Berg balance scale (BBS), modified Barthel index (BI) and the Zarit burden interview (ZBI) for caregiver before rehabilitation, discharge, 6 and 12 months after discharge. Results The Brunnstrom stages of lower limbs, MAS of upper limbs improved (P<0.05) after 3-month rehabilitation in hospital, as well as the scores of BBS, BI and ZBI. As 6 and 12 months in home, the limb function remained stable, while the scores of BBS, MMSE, BI, SAS, and ZBI improved, but SDS fluctuat-ed (P<0.05). Conclusion It is important to offer the long-term rehabilitation or consultation service when advocating old stroke patients ear-ly return to family or community, including psychological support and intervention.