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Journal of the Korean Academy of Rehabilitation Medicine 2007;31(1):63-69.
Comparison of Activity Patterns between Rehabilitation Stroke Unit and Mixed Rehabilitation Ward for Stroke Patients.
Lee, Sang Jin , Shin, Jung Bum , Hong, Jin Young , Lee, Ji Heoung , Jun, Po Sung , Ha, Ho Sung
1Department of Physical Medicine and Rehabilitation, Dong-Eui Hospital, Korea. lsj0000@paran.com
2Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Korea.
재활 뇌졸중 유니트와 일반 병동에서의 뇌졸중 환자의 행동 양상 비교
이상진, 신정범, 홍진영, 이지형, 전포성, 하호성1
동의병원 재활의학과, 1고신대학교 의과대학 재활의학교실
To determine if the physical design and organizational structure of rehabilitation stroke unit (RSU) is related to the amount of patients' activity pattern.
An observational study was conducted using behavioral mapping method. Time samples of the motor activity of patients following stroke were taken at 10-minute interval, between 7 AM and 7 PM both on weekdays and weekends. At each observation, physical activity patterns, location in which the patients spent their time, and other person present were recorded.
RSU patient spent less time in non-therapeutic activity and more time in therapeutic activity (p<0.05). There were significant differences in the locations of patient's position between the two types of ward (p<0.05). RSU patients had significantly more interaction with formal carer and less time disengaged (p<0.05). The proportion of time in therapeutic activity was low in all location, with patients spending many hours in bed and doing nothing. There was no significant differences in total Functional Independence Measure (FIM) scores at admission and on discharge, FIM gain, and FIM efficiency between RSU and mixed rehabilitation ward (p<0.05).
In spite of quantitative difference, the two wards had similar patterns of treatment activity and deployment of staff. These maybe resulted in similar treatment experiences for patient and no functional differences between two wards. It appears that strategies are required so that patients can be practicing at an more appropriate level. (J Korean Acad Rehab Med 2007; 31: 63-69)
Key Words: Rehabilitation stroke unit, Stroke, Activity pattern, Behavioral mapping


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