Abstract：
BACKGROUND: Social inactivity after a stroke leads to adverse outcomes, making social activity after discharge important for chronic stroke survivors. This study aimed to investigate the effects of early rehabilitation services after discharge on social activity among chronic stroke survivors.
METHODS: The participants were prospectively recruited from 3 convalescent hospitals. Receipt of early rehabilitation services after discharge for chronic stroke survivors was defined as the utilization of day care or home-based rehabilitation services by the Japanese long-term care insurance system. Social activity was assessed using the Frenchay Activities Index (FAI) premorbid and at 3, 6, and 12 months after discharge. In this study, the outcome was defined as the change in the FAI score from 3 to 12 months after discharge. Multivariate regression analysis was performed to examine the effect of access to rehabilitation on changes in FAI.
RESULTS: Ninety stroke survivors (age 67.2±11.6 years, 52 male) were enrolled. The FAI showed improvements by 27.4% and 1.4% from 3 to 12 months after discharge in the rehabilitation and nonrehabilitation groups, respectively. Multivariate regression analysis showed that access to rehabilitation after discharge was positively associated with the FAI change from 3 to 12 months after discharge (B=30.3, β=0.38, 95% confidence interval=11.13-49.47, P=0.002).
CONCLUSIONS: Early rehabilitation services after discharge were significantly associated with increased social activity.
METHODS: The participants were prospectively recruited from 3 convalescent hospitals. Receipt of early rehabilitation services after discharge for chronic stroke survivors was defined as the utilization of day care or home-based rehabilitation services by the Japanese long-term care insurance system. Social activity was assessed using the Frenchay Activities Index (FAI) premorbid and at 3, 6, and 12 months after discharge. In this study, the outcome was defined as the change in the FAI score from 3 to 12 months after discharge. Multivariate regression analysis was performed to examine the effect of access to rehabilitation on changes in FAI.
RESULTS: Ninety stroke survivors (age 67.2±11.6 years, 52 male) were enrolled. The FAI showed improvements by 27.4% and 1.4% from 3 to 12 months after discharge in the rehabilitation and nonrehabilitation groups, respectively. Multivariate regression analysis showed that access to rehabilitation after discharge was positively associated with the FAI change from 3 to 12 months after discharge (B=30.3, β=0.38, 95% confidence interval=11.13-49.47, P=0.002).
CONCLUSIONS: Early rehabilitation services after discharge were significantly associated with increased social activity.
摘要：
背景：中风后缺乏社会活动会导致不良后果，使出院后的社会活动对慢性中风幸存者很重要。
目的：探讨出院后早期康复服务对慢性脑卒中幸存者社会活动的影响。
方法：参与者从三家疗养医院前瞻性招募。慢性中风幸存者出院后接受早期康复服务的定义是日本长期护理保险制度利用日托或家庭康复服务。病前和出院后3、6和12个月使用Frenchay活动指数（FAI）评估社交活动。在这项研究中,结局定义为出院后3~12个月FAI评分的变化.进行多元回归分析以检查康复对FAI变化的影响。
结果：90名中风幸存者（年龄67.2±11.6岁，52名男性）入选。康复和非康复组出院后3至12个月FAI分别改善了27.4%和1.4%，分别。多因素回归分析显示,出院后康复与出院后3~12个月FAI变化呈正相关(B=30.3,β=0.38,95%置信区间=11.13~49.47,p=0.002)。
结论：出院后的早期康复服务与社交活动增加显著相关。
目的：探讨出院后早期康复服务对慢性脑卒中幸存者社会活动的影响。
方法：参与者从三家疗养医院前瞻性招募。慢性中风幸存者出院后接受早期康复服务的定义是日本长期护理保险制度利用日托或家庭康复服务。病前和出院后3、6和12个月使用Frenchay活动指数（FAI）评估社交活动。在这项研究中,结局定义为出院后3~12个月FAI评分的变化.进行多元回归分析以检查康复对FAI变化的影响。
结果：90名中风幸存者（年龄67.2±11.6岁，52名男性）入选。康复和非康复组出院后3至12个月FAI分别改善了27.4%和1.4%，分别。多因素回归分析显示,出院后康复与出院后3~12个月FAI变化呈正相关(B=30.3,β=0.38,95%置信区间=11.13~49.47,p=0.002)。
结论：出院后的早期康复服务与社交活动增加显著相关。
