腦中風病患住院期間接受職能治療的效果

Effect of Occupational Therapy on Stroke Inpatients

目的
職能治療是復健的一種方式，腦中風病患接受職能治療除可改善生活品質外，也可能對預後產生影響。本研究的目的即在探討腦中風病患在住院期間是否接受職能治療對發生再住院與死亡的影響。
方法
本研究使用2017年至2019年衛生福利部衛生福利資料科學中心之全人口資料進行分析，以2018年腦中風住院病患為研究樣本，運用邏輯斯迴歸（Logistic Regression）模型實證分析在控制是否接受物理治療及語言治療、人口學特質、病患特性及醫院特性後，是否接受職能治療對樣本發生1年內再住院以及1年內死亡結果的影響。
結果
本研究共納入48,979位研究樣本，住院期間接受職能治療對中風病患出院後1年內死亡結果具顯著影響。
結論
住院期間即早介入職能治療可降低腦中風病患的死亡風險，但對再住院則無影響。（

Purposes
Occupational therapy is a type of rehabilitation that influences the prognosis and improves the quality of life of stroke patients. This study aimed to ascertain the effects of occupational therapy during hospitalization on the readmission and mortality risk of stroke patients.
Methods
Data for the entire population in the records maintained at the Health and Welfare Data Science Center (HWDC) from 2017 to 2019, were analyzed in this study; patients who experienced a stroke in 2018 and hospitalized were enrolled as participants. After controlling for physical therapy, speech therapy, as well as demographic, patient, and hospital characteristics, a logistic regression model was used to empirically analyze the effects of occupational therapy on the death and readmission rates within 1 year.
Results
A total of 48,979 participants were included in the analysis. Occupational therapy during hospitalization significantly affected the 1-year mortality outcome after stroke patients were discharged.
Conclusions
Early initiation of interventional occupational therapy during hospitalization can reduce the mortality risk of stroke patients, but has no effect on the readmission risk.