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뇌졸증환자에 있어서 초기 요실금과 재활치료 결과와의 상관관계

Other Titles
 A Study of Correlation Between Early Urinary Incontinence and Rehabilitation Outcome in Stroke Patients 
Authors
 박병권 
Issue Date
1990
Description
의학과/석사
Abstract

[영문] [한글] 뇌졸중 환자의 초기 요실금과 재활치료의 결과와의 상관관계를 알아보고자 한 본 연구 에서 저자는 1987년 1월 1일부터 1990년 1월 31일까지 연세대학교 의과대학 세브란스병원 재활의학과에 입원하여 포괄적인 재활 치료를 받고 퇴원한 뇌졸중 환자 91명을 대상으로 의무기록지, 물리치료 기록지, 및 작업치료기록지를 검토하였다. 초기 요실금이 있는 59 명을 요실금군으로, 요실금이 없는 32명을 대조군으로 하여 대상환자의 연령, 성별, 입원 기간, 뇌수술여부, 입·퇴원시의 Barthel 점수 및 보행상태, 초기 요실금의 기간 및 정도 그리고 유치도뇨관 삽입기간을 조사하여 초기 요실금의 발생률 그리고 초기 요실금과 재 활후의 일상 생활 동작 수행능력, 보행 상태 및 입원기간과의 상관관계를 알아보아 다음 과 같은 결과를 얻었다. 1. 뇌졸중 환자의 초기 요실금의 발생률은 64.8%이었다. 2. 뇌졸중 환자의 연령, 성별, 뇌병소의 성질, 뇌 수술여부 그리고 발병 초기의 유치도 뇨관 삽입기간은 두 군간에 차이가 없었다. 3. 요실금군에서 재활후 일상생활동작 수행능력과 보행상태는 나빴으며, 입원기간은 길 었고 회복이 늦었다. 4. 뇌졸중 환자의 조기 요실금의 기간이 길수록 그리고 정도가 심할수록 재활후 얻을 수 있는 일상생활동작 수행능력 및 보행상태가 낮았고, 입원기간은 길었다. 이와 같은 결과는 뇌졸중 환자의 재활계획 수립에 도움이 될 수 있다고 생각된다. A Study of Correlation Between Early Urinary Incontinence and Rehabilitation Outcome in Stroke Patients Byung Gwon Park Department of Medical Science, The Graduate School, Yonsei University (Directed by Professor Sae Il Chun, M.D.) Early urinary incontinence is an important complication of stroke because it causes personal distress and lowering of functional outcome. The aim of this study is to demonstrate the correlation of early urinary incontinence and rehabilitation outcome of stroke patients. The subjects of this study were 91 stroke patients who were admitted to the Department of Rehabilitation Medicine, Yonsei University College of Medicine, and managed with comprehensive rehabilitative treatment between January 1, 1987 and January 31, 1990. Medical records were reviewed and data such as age, sex, hospital days, effect of operation, Barthel score, ambulation status at admission and discharge and duration of Foley insertion were surveyed. The study group consisted of 59 stroke patients who had urinary incontinence of early onset, and a control group of 32 stroke patients without urinary incontinence. The incidence of early urinary incontinence and correlation between early urinary incontinence and activities of daily living, ambulation status and hospital days after rehabilitation was determined stastically. 1. An incidence of early urinary incontinence was 64.8%. 2. There were no differences in age, sex, properties of brain lesion, effect of operation and duration of Foley insertion between the two groups. 3. In the urinary incontinence group, post rehabilitation Barthel score of activities of daily living and ambulation status were poor and hospital days were prolonged. 4. Comparison of pre and post rehabilitation status in activities of daily living and ambulation showed little improvement in the urinary incontinence group. 5. The overall severity was greater, the activities of daily living and ambulation status was lower and the length of hospital days was longer in stroke patients with early urinary incontinence. This knowledge could be helpful in planning stroke rehabilitation programs.
Full Text
https://ymlib.yonsei.ac.kr/catalog/search/book-detail/?cid=CAT000000045974
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1. College of Medicine (의과대학) > Others (기타) > 2. Thesis
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/135264
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