日常生活活动能力量表在脑卒中康复临床使用情况的调查  

An investigation on the clinical application of activities of daily living scale in stroke rehabilitation in China

作　　者：陈善佳[1] 周小炫 方云华[1] 陶静[1] 陈立典[1] 

机构地区：[1]福建中医药大学康复医学院,福州350003

出　　处：《中国康复医学杂志》2014年第11期1044-1049,共6页Chinese Journal of Rehabilitation Medicine

基　　金："十二.五"国家科技支撑计划项目(2013BAI10B01)

摘　　要：目的:了解日常生活活动能力量表在我国脑卒中康复临床的应用情况现状。方法:采用分层非随机抽样的方法,于2013年3月—4月问卷调查国内几大省会城市设有康复科的三甲医院从事脑卒中康复临床工作的66位康复医生和162位康复治疗师。结果:在脑卒中康复临床中日常生活活动(ADL)量表使用率分别是:改良Barthel指数>FIM>Lawton IADL>FAI。其中不同岗位调查对象的量表使用率分别为:PT治疗师>康复医师>ST治疗师>OT治疗师。基础性日常生活活动(BADL)量表无论使用率还是总体认可度上都优于工具性日常生活活动(IADL)量表(P<0.05)。量表临床使用与康复医师和治疗师对量表的认可度有关,其中量表自身各方面的优缺点是影响其在脑卒中康复临床推广应用的内在影响因素之一。结论:工具性日常生活能力量表尚未在脑卒中康复临床得到普遍应用,提示目前脑卒中临床更偏重于基础性日常生活能力康复,而疏于患者工具性生活能力康复。Objective： To investigate the clinical application of activities of daily living（ADL） scale in domestic stroke rehabilitation.Method： A cross-sectional survey based on the non-stratified random sampling was conducted among 66 physiatrists and 162 therapists, who were engaged in stroke rehabilitation clinical work in national third grade first class hospitals of several major capital cities, in March to April, 2013.Result： The modified Barthel index（MBI）, functional independence measure（FIM）, Frenchayactivities index（FAI）,Lawton instrumental activities of daily living（Lawton IADL） were in descending order of ADL scale usage in clinical stroke rehabilitation. The frequeney of using scales between PT therapists, physiatrists, ST therapists,OT therapists was in descending order of different post. Generally the basic activities of daily living（BADL）was applied better and preferred in clinic compared with IADL（P〈0.05）. The scale usage rate was related with the recognition of physiatrists and therapists to the scale. The advantages and disadvantages of self-respect of scales were the factors affecting its＇ clinical application in stroke rehabilitation.Conclusion： IADL scale has not been commonly used in stroke rehabilitation clinical. It suggestest that the cur-rent clinical stroke rehabilitation was more emphasised on rehabilitation of BADL, and was neglected on rehabilitation of IADL.

关 键 词：日常生活活动能力 脑卒中 康复 问卷调查 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]