| Summary: | 碩士 === 國立陽明大學 === 醫務管理研究所 === 107 === Abstract
Background
Stroke is the main cause of death and disability in the global population. In recent years, stroke has been the top ten causes of death in Taiwan, and there is also a trend of the younger onset. The current study is aimed to improve the efficiency of intervention and reduce the burden of families. The post-acute care in Taiwan was developed to solve those needs. In PAC program we evaluated functional indicators every 3weeks, and we proposed to use those functional indicators to communicate with patients and their caregivers about the recover trends to have better discharge plans.
Objectives
To analyze the trend and associated factors for functional developments of stroke patients in PAC program. The measurement of functional development included three indicators: six-minute walking test (6MWT), usual gait speed (UGS), and Berg's balance scale (BBS).
Methods
This fixed cohort study recruited a total of 216 patients in the PAC program. The study independent variables were age, gender, lesion type, lesion side, initial evaluation, and length of stay. The Generalized estimating equation (GEE) was applied to analyze the changes and associated factors for the functional development of evaluation indicators.
Results
The GEE results displayed the significant time trend of improvement for BBS, 6MWT, and UGS. The stroke type of hemorrhage had significant impact on the recovery of 6MWT and the younger age had significant recovery trends of UGS. Besides, our results demonstrate the higher BBS initial scores significantly resulted in 3 weeks performance.
Conclusion
In summary, age and lesion type can be used as a change factor in the trend of functional evaluation of stroke patients, and there is no difference between the lesion side and gender. The Berg's balance scale is recommended as a reference for discharge time.
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