摘要
目的：通过分析功能独立测量（ＦＩＭ）在临床运用的情况，探讨其作为康复科常规残疾测量的价值。方法：用ＦＩＭ对１５７例康复科住院患者进行测量，并对不同病种入出院ＦＩＭ值进行配对分析，计算康复效益。结果：脑卒中、脊髓损伤、脑外伤及其他疾病患者的ＦＩＭ运动分、认知分及总分均有明显改变（Ｐ＜０．０１）；颈椎病、腰腿痛患者运动分有改变（Ｐ＜０．０１），其康复效益较高；周围神经损伤患者出入院ＦＩＭ运动分、认知分、总分均无明显变化（Ｐ＞０．０５），其康复效益低。结论：ＦＩＭ能反应康复过程中患者功能独立情况的变化，且与不同病种的功能独立情况相符合。
Objective:To investigate the value of functional independent measurement(FIM) on routine clinical impairment. Method:FIM were used to measure 157 patients. Admission and discharge FIM scores of patients with related diseases, such as stroke, spinal cord injury,etc,were analyzed by paired samples t test.Result:Discharge FIM motor subscale, cognitive subscale and total scores in patients of stroke, spinal cord injury, traumatic brain injury and other diseases patients were higher than their admission FIM, while in cervical spondylopathy and lumbocrural pain patients′ FIM motor subscale score ( P <0.01). Discharge FIM motor subscale, cognitive subscale and total scores in patients with peripheral nerve injury had no change compared with their admission FIM ( P >0.05). Conclusion:FIM may reflect the change of functional independence in patients during their rehabilitation process, which conforms to various related functions. FIM may be used as a conventional measurement in department of rehabilitation. Author′s address Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat sen University of Medical Sciences, Guangzhou, 510080
出处
《中国康复医学杂志》
CAS
CSCD
1999年第1期10-13,共4页
Chinese Journal of Rehabilitation Medicine
基金
中山医科大学附一院瑞安基金
关键词
康复
功能测量
残疾
FIM
Medical rehabilitation
Functional measure
Disability
