日常生活活动能力评定量表在脑卒中患者中应用的对比研究

发布时间：2017-12-26 22:12

本文关键词：日常生活活动能力评定量表在脑卒中患者中应用的对比研究　出处：《世界最新医学信息文摘》2016年79期 　论文类型：期刊论文

【摘要】：目的探讨国内Barthel指数(BI)和改良Barthel指数(MBI)应用脑卒中患者时的相关性及敏感度,为临床选择适宜的日常生活活动能力评定量表提供依据。方法 2名评定员对300例脑卒中患者入院当天进行BI、MBI评测,在患者住院第14天再次进行BI、MBI评分量表评测。用Spearman相关系数分析BI和MBI之间的相关性;对治疗前、后MBI和BI结果的敏感度采用配对t检验分析。结果 BI结果与MBI各项目得分值及总分均具有高度相关性(r=0.864-0.997,均P0.01);MBI评分在吃饭、修饰、穿衣、用厕、床椅转移、步/轮椅、上下楼梯及总分项目治疗前后差异均有统计学意义(P0.05),而BI仅在吃饭、修饰、穿衣及总分项目治疗前后差异有统计学意义(P0.05),MBI敏感度优BI。结论二个日常生活活动能力评定量表之间具有高度的相关性,但MBI敏感度要优于BI,更能正确指导患者康复治疗及客观评价康复疗效,更适宜在临床上应用。
[Abstract]:Objective to explore the correlation and sensitivity of domestic Barthel index (BI) and modified Barthel index (MBI) in stroke patients, so as to provide evidence for clinical selection of appropriate activities of daily living scale. Methods 2 patients were evaluated by BI and MBI on the day of admission to 300 patients with stroke, and the BI and MBI scales were evaluated again for fourteenth days in hospital. The correlation between BI and MBI was analyzed with Spearman correlation coefficient, and the sensitivity of MBI and BI results before and after treatment was analyzed by paired t test. Results the results of BI and MBI scores of value and total scores were highly correlated (r=0.864-0.997, P0.01); the MBI score before and after eating, dressing, grooming, toilet, bed, chair transfer steps / stairs wheelchair, and total score of treatment differences were statistically significant (P0.05), while BI only when eating, after modification, dress and total score of treatment was statistically significant (P0.05), MBI and BI sensitivity. Conclusion there is a high correlation between two activities of daily living scale, but MBI sensitivity is better than BI. It can better guide patients' rehabilitation therapy and objective evaluation of rehabilitation effect, and is more suitable for clinical application.
【作者单位】：海南医学院附属医院康复医学科;
【分类号】：R743.3
【正文快照】： 0 引言脑卒中的发病率在逐年上升,现已成为成年人致死和致残的首位疾病[1]。脑卒中后功能障碍主要包括运动、语言、认知等方面障碍,严重影响患者的日常生活活动(activity ofdaily living,ADL)能力和社会参与能力,给患者及其家庭乃至社会带来经济、医疗等方面的沉重负担[2]。

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