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題名：中風病患之記憶缺失與日常功能的探討
書刊名：臺灣職能治療研究與實務雜誌
作者：蔡佩倫／游書寧／張業婕
作者(外文)：Tsai, Pei-luen／Yu, Shu-ning／Chang, Yeh-chieh
出版日期：2012
卷期：8:2
頁次：頁90-100
主題關鍵詞：中風；記憶缺失；後設記憶；日常生活活動；Stroke；Memory impairments；Metamemory；Activities of daily living
原始連結：連回原系統網址new window
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  • 點閱點閱:29
目的：記憶缺失是中風患者常見的認知問題之一，可能進一步影響其日常活動表現，但迄今探討兩者之相關性的研究則十分缺乏。故本研究的目的在於檢驗中風患者之各種記憶缺失與其日常活動功能之相關性。方法：共計15名中風個案參與本研究。以情境式記憶測驗及行為記憶測驗第三版之兩項子測驗評量個案的回溯性記憶、前瞻性記憶和後設記憶等功能，以功能性獨立量表和諾丁漢日常活動量表分別評估其基本和操作性的日常功能。結果：60%的受試者顯示有回溯性記憶缺失，但多數患者自覺記憶功能良好，有86.6%的患者無法使用具體的策略協助本身的記憶表現，顯示有明顯之後設記憶缺失。患者在與時間性質之前瞻性記憶亦有所損傷。相關分析顯示受試者的回溯性記憶和後設記憶主要會受到年齡、基本認知功能和中風嚴重程度的影響，並與其日常功能有顯著的相關。結論：本研究結果顯示中風患者的記憶功能確實不佳，且影響其日常活動表現。故建議臨床對中風患者的處置應重視各類記憶功能的評估和訓練，以提昇患者的日常功能。
Objective: Little is know about the relation between memory impairments and functional performance in stroke. The purposes of the study were to examine memory impairments following stroke and to explore the impact of memory impairments on daily function. Methods: A total of 15 patients with stroke were recruited in this study. The Contextual Memory Test and two subtests of The Rivermead Behavioral Memory Test were used to examine different types of memory. The Functional Independence Measure and Nottingham Extended ADL Scale were used for evaluating ADL functions. Results: Sixty percent of participants demonstrated retrospective memory impairments. Most of participants revealed lack of self-awareness and 86.6% could not use of memory strategy, which indicating deficits in metamemory. All participants also showed poor time-based prospective memory. Retrospective memory and metamemory were associated with age, basic cognitive function and stroke severity. Significant correlations between impairments of retrospective memory and metamemory and ADL performances were also presented. Conclusion: The study revealed memory impairments in stroke with a negative impact on daily functions. Our findings suggest that comprehensive memory evaluation and intervention for stroke patients is needed to promote their daily functions.
期刊論文
1.蔡佩倫、陳郁婷(20060000)。臺灣正常成年人和腦傷病患在情境式記憶測驗的表現初探。臺灣職能治療研究與實務雜誌，2(2)，90-98。new window  延伸查詢new window
2.Aben, L.,、Busschbach, J. J. V.,、Ponds, R. W. H. M.,、Ribbers, G.M.(2008)。and psychosocial factors in stroke。Journal of Rehabilitation Medicine，40，681-683。  new window
3.Batchelor, S.,、Thompson, E. O.、Miller, L. A.(2008)。Retrograde memory after unilateralstroke。Cortex，44，170-178。  new window
4.Brooks, B. M.,、Rose, F. D.,、Potter, J.,、Jayawardena, S.、Morling, A.(2004)。Assessing stroke patients’ prospective memory using virtual reality。Brain Injury，18，391-401。  new window
5.Brott, T. G.,、Adams, H. P., Olinger, C. P.,、Marler, W. G.,、Barsan, W. G.,、Biller, J., et al.(1989)。Measurements of acute cerebral infarction: A clinical examination scale。Stroke，20，864-870。  new window
6.Dodds, T. A.、Martin, D. P.、Stolov, W. C.、Devo, R. A.(1993)。A validation of the functional independence measurement and its performance among rehabilitation inpatients。Archives of Physical Medicine and Rehabilitation，74，531-536。  new window
7.Fortin, S.,、Godbout, L.,、Braun, M. J.(2002)。Strategic sequence planning and prospective memory impairments in frontally lesioned head trauma patients performing activities of daily living。Brain and Cognition，48，361-365。  new window
8.Gladman, J. R.,、Lincoln, N. B.,、Adams, S. A.(1993)。Use of the extended ADL scale with stroke patients。Age and Ageing，22，419-424。  new window
9.Godefroy, O.,、Roussel, M.,、Leclerc, X.、Leys, D.(2009)。Deficit of episodic memory: Anatomy and related patterns in stroke patients。European Neurology，61，223-229。  new window
10.Groot, Y. C. T.,、Wilson, B. A.,、Evans, J.,、Watson, P.(2002)。Prospective memory functioning in people with and without brain injury。Journal of the International Neuropsychological Society，8，645-654。  new window
11.Hamilton, B. B.,、Laughlin, J. A.,、Fiedler, R. C.,、Granger, C. V.(1994)。Interrater reliability of the 7-level functional independence measure (FIM).。Scandinavian Journal of Rehabilitation Medicine，26，115-119。  new window
12.Hyndman, D.、Ashburn, A.(2003)。People with stroke living in the community: Attention deficits, balance, ADL ability and falls。Disability and Rehabilitation，25，817-822。  new window
13.Jaillard, A.,、Naegele, B.,、Trabucco-Miguel, S.,、LeBas, J. F.,、Hommel, M(2009)。Hidden dysfunctioning in subacute stroke。Stroke，40，1-7。  new window
14.Kim, H. J.,、Craik, F. I. M.,、Luo, L.,、Ween, J. E.(2009)。Impairments in prospective andretrospective memory following stroke。Neurocase，15，145-156。  new window
15.Leung, A. W.,、Cheng, S. K.,、Mak, A. K.,、Leung, K. K.,、Li, L. S.、Lee, T. M(2010)。Functional gain in hemorrhagic stroke patients is predicted by functional level and cognitive abilities measured at hospital admission。NeuroRehabilitation，27，351-358。  new window
16.Lincoln, N. B.,、Tinson, D. J.(1989)。The relation between subjective and objective memory impairment after stroke。British Journal of Clinical Psychology，28，61-65。  new window
17.Man, D. W.,、Tam, S. F.,、Hui-Chan, C(2006)。Prediction of functional rehabilitation outcomes in clients with stroke。Brain Injury，20，205-211。  new window
18.Nichols-Larsen, D. S.,、Clark, P. C.,、Zeringue, A.,、Greenspan, A.,、Blanton, S.(2005)。Factors influencing stroke survivors’ quality of life during subacute recovery。Stroke，36，1480-1484。  new window
19.Nouri, F. M.、Lincoln, N. B.(1987)。An extended ADL scale for use with stroke patients。Clinical Rehabilitation，1，301-305。  new window
20.One , K.,、Yalçinkaya, E. Y.,、Toklu, B. C.、Ca lar, N(2009)。Effects of age, gender, and cognitive, functional and motor status on functional outcomes of stroke rehabilitation。NeuroRehabilitation，25，241-249。  new window
21.Tatemichi, T. K.,、Desmond, D. W.,、Sterm, Y.,、Paik, M.,、Sano, M、Bagiella, E.(1994)。Cognitive impairment after stroke: Frequency, patterns, and relationship to functional abilities。Journal of Neurology, Neurosurgery, and Psychiatry，57，202-207。  new window
22.Wada, N.,、Sohmiya, M.,、Shimizu, T.,、Okamoto, K.,、Shirakura, K.(2007)。Clinical analysis of risk factors for falls in home-living stroke patients using functional evaluation tools。Archives of Physical Medicine and Rehabilitation，88，1601-1605。  new window
23.Wilson, B. A.,、Greenfield, E.,、Clare, L.,、Baddeley, A.,、Cockburn, J.,、Watson. P., et al.(2008)。The Rivermead Behavioral Memory Test。  new window
24.Snaphaan, L.,、de Leeuw, F(2007)。Poststroke memory function in nondemented patients: A systematic review on frequency and neuroimaging correlates。Stroke，38，198-203。  new window
25.郭乃文(19881200)。「簡短式智能評估」之中文施測與常模建立。復健醫學會雜誌，16，52-59。  延伸查詢new window
會議論文
1.Tsai, P. L.,、Chang,Y. C.,、Tsai, Y. S.(2009)。Memory impairments and ADL function in stroke。The 5th World Congress of International Society of Physical Rehabilitation Medicine。Istanbul, Turkey。  new window
圖書
1.Gillen, G.(2008)。Cognitive and Perceptual Rehabilitation: Optimizing Function。Philadelphia, PA：Elsevier。  new window
2.Toglia, J. P.(1993)。Contextual Memory Test。Tucson, AZ：Therapy Skill Builders。  new window
 
 
 
 
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