ABSTRACT

Objective: The aim of this study was to identify the predictive factors of functional independence in the basic activities of daily living during hospitalization, on the 10th and 28th day after stroke.

Methods: A total of 433 patients (204 men and 229 women) took part. Functional independence data were collected using the Step 1 from an instrument called Stepwise. Analysis was conducted by logistic regression.

Results: Due to the OR values below 1.0 we can verify that the age of 59 years or less and the presence of physiotherapy in the hospital were protective factors of functional independence. Other predictive factors were the number of stroke risk factors (bathing: OR = 0.4; p = .005, transfer: OR = 0.487; p = .025), the amount of medication used before stroke (bathing: OR = 1.7; p = .013), sex (grooming: OR = 1.6; p = .026); type of stroke (continence: OR = 2.2; p = .003–10th day; OR = 1.9; p = .013–28th day), previous strokes (eating: OR = 0.5; p = .036).

Conclusions: According to the results, the risk of impaired functional independence decreased in bathing and eating and increased for dressing, grooming and transfer during clinical recovery suggesting the need for greater therapeutic intervention in different basic activities of daily living.

摘要

目的：本研究的目的是确定中风后第 10 天和第 28 天住院期间日常生活基本活动中功能独立的预测因素。

方法：共有433名患者（204名男性和229名女性）参加。功能独立性数据是使用 Step 1 从名为 Stepwise 的仪器收集的。通过逻辑回归进行分析。

结果：由于 OR 值低于 1.0，我们可以验证 59 岁或以下和医院物理治疗的存在是功能独立的保护因素。其他预测因素是中风危险因素的数量（沐浴：OR = 0.4；p = .005，转移：OR = 0.487；p = .025）、中风前使用的药物量（沐浴：OR = 1.7；p = .013)、性别（美容：OR = 1.6；p = .026）；中风类型（节制：OR = 2.2；p = .003–10 天；OR = 1.9；p = .013–28 天），以前的中风（饮食：OR = 0.5；p = .036）。

结论：根据结果，在临床恢复期间，洗澡和进食时功能独立性受损的风险降低，而穿衣、梳洗和转移的风险增加，这表明需要对日常生活的不同基本活动进行更多的治疗干预。