A FOLLOW-UP STUDY MENTAL AND PHYSICAL FUNCTION FUNCTION AMONG STROKE PATIENTS COMPARISONS BETWEEN ADMISSION AND DISCHARGE STATUS IN A REHABILITATION-SPECIALIZED HOSPITAL

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  • 慢性脳血管障害者における心身の障害特性に関する経時的研究　リハビリテーション専門病院の入院・退院時比較
  • マンセイ ノウケッカン ショウガイシャ ニ オケル シンシン ノ ショウガイ トクセイ ニ カンスル ケイジテキ ケンキュウ リハビリテーション センモン ビョウイン ノ ニュウイン タイインジ ヒカク

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Abstract

Purpose To assess results of a 5year-follow-up, in terms of disability, depression, quality of life, and social network in cases of stroke patients. This report deal with results at admission and discharge (in average, from 2.5 to 6 moths of the onset) in a rehabilitation-specialzed hospital.<br/>Object and method The subjects were 87 stroke patients hospitalized in the Ibaraki Prefectural University Hospital. They were 64 men and 23 women, and their age were between 42 and 79 with an avarage of 59 years. Systematic evaluation for mental and physical functions was conducted at admission and discharge, and it is intended that the evaluation will be repeated 1, 2, 3 and 5years from the stroke onset.<br/>Results There were substantial improvements in motor functions, general intelligence, and the status of dementia during the hospitalization. Activities of daily living and degrees of job execution and satisfactory were also improved. The prevalence of depression remained 40%, and the acceptance of limb paralysis or reduced quality of life did not change. Social network scores declined.<br/>Discussion Lack of inprovement of depressive status and quality of life, and deterioration social network may increase the rist of major difficulties after discharge of stoke patients.<br/>Prevention programs at hospital may be necessary to cope with these potential problems.

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