運用巴氏量表於出血性腦中風患者復健治療三個月成效追蹤

A Three Month Follow-up Study of Hemorrhagic Stroke Patients Receiving Rehabilitation Therapy as Assessed by the Barthel Index

10.7023/TJFM.200712.0250

陳佳鳳(Chia-Feng Chen)；卓妙如(Miao-Ju Chwo)；溫千慧(Chien-Hui Wen)；楊仲棋(Chung-Chi Yang)

stroke ； Barthel index ； rehabilitation therapy

台灣家庭醫學雜誌

17卷4期（2007 / 12 / 01）

250 - 263

繁體中文

Stroke is a disruption in the cerebrovascular blood supply. Aggressive surgical and rehabilitation therapy with hemorrhagic stroke could achieve functional recovery in an attempt to minimize brain damage. The purpose of this study was to assess hemorrhagic stroke patients with functional recovery using the Barthel Index (BI) on the third day after surgery, and the first and third months after rehabilitation therapy. Twenty-two stroke patients were selected from a medical center. Subjects were 19 to 86 years of age, were diagnosed with hemorrhagic stroke, and underwent craniotomy surgery. The BI was used to assess the subject's functional outcome the third day after craniotomy surgery, and after the first and third months of rehabilitation therapy. The effect of rehabilitation therapy on paralysis was significant (p=0.000). In the first month after rehabilitation, 4.5% of subjects achieved a BI score of 100, indicating complete independence. In the third month after rehabilitation, 9% of subjects achieved a BI score of 100. Based on analysis with the Wilcoxon signed rank test, each item of the BI, such as feeding, grooming, transfer, ambulation, and stair-climbing, were improved significantly (p＜0.05); the subjects did not improve on bathing according to the BI (0.68 to 0.91). This study found that hemorrhagic stroke patients could be completely independent after craniotomy surgery and rehabilitation therapy. Therefore, the aforementioned items of the BI might help assess the functional recovery of these patients receiving continuous rehabilitation therapy.

Stroke is a disruption in the cerebrovascular blood supply. Aggressive surgical and rehabilitation therapy with hemorrhagic stroke could achieve functional recovery in an attempt to minimize brain damage. The purpose of this study was to assess hemorrhagic stroke patients with functional recovery using the Barthel Index (BI) on the third day after surgery, and the first and third months after rehabilitation therapy. Twenty-two stroke patients were selected from a medical center. Subjects were 19 to 86 years of age, were diagnosed with hemorrhagic stroke, and underwent craniotomy surgery. The BI was used to assess the subject's functional outcome the third day after craniotomy surgery, and after the first and third months of rehabilitation therapy. The effect of rehabilitation therapy on paralysis was significant (p=0.000). In the first month after rehabilitation, 4.5% of subjects achieved a BI score of 100, indicating complete independence. In the third month after rehabilitation, 9% of subjects achieved a BI score of 100. Based on analysis with the Wilcoxon signed rank test, each item of the BI, such as feeding, grooming, transfer, ambulation, and stair-climbing, were improved significantly (p＜0.05); the subjects did not improve on bathing according to the BI (0.68 to 0.91). This study found that hemorrhagic stroke patients could be completely independent after craniotomy surgery and rehabilitation therapy. Therefore, the aforementioned items of the BI might help assess the functional recovery of these patients receiving continuous rehabilitation therapy.

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