文章摘要
沈学奎.桐乡市农村脑卒中社区康复效果观察[J].中国康复,2015,30(6):472-475
桐乡市农村脑卒中社区康复效果观察
Community rehabilitation of country in the city of Tong Xiang
  
DOI:
中文关键词: 脑卒中  社区康复
英文关键词: stroke  community rehabilitation
基金项目:
作者单位
沈学奎 嘉兴市康慈医院,浙江 嘉兴 314500 
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中文摘要:
  目的:通过在农村卫生服务中心建立脑卒中社区康复治疗室,对辖区内脑卒中患者的后期康复进行干预、管理和评估,评价效果并探索农村社区康复的开展方法。方法:将85例脑卒中患者以区组随机化的方式分为观察组(42例)和对照组(43例),观察组接受社区康复活动室系统化康复管理和指导,对照组从社区康复中心无偿借用器材自行回家训练。分别于入组前后对患者的脑卒中康复知识掌握程度、神经功能(NIHSS量表)和日常生活活动能力(Barthel指数)进行评测。结果:入组3个月后,观察组康复知识掌握程度评分及Barthel指数均明显高于入组前及对照组入组后(P<0.05),对照组入组前后比较差异无统计学意义。2组NIHSS量表评分均明显低于入组前(P<0.05,0.01),且观察组更低于对照组(P<0.05,0.01)。结论:在农村社区卫生服务中心建立康复治疗室,运用“五联五体”社区康复干预法,对患者进行系统化社区康复管理,能提高患者的健康知识掌握程度,促进脑卒中患者出院后的神经功能康复和日常生活活动能力的改善,值得进一步推广。
英文摘要:
  Objective: To investigate a new type of community rehabilitation method, through setting up stoke community rehabilitation room in community health centers, then providing intervention, management and assessment for the later rehabilitation of stroke patients in their jurisdiction. Methods: Eighty-five cases of cerebral stroke were divided with method of randomized block design into rehabilitation group (42 patients ) and control group (43 patients). The patients were assessed by the mastery degree of stroke rehabilitation related knowledge, neurological function (National Institutes of Health Stroke Scale) and activity of daily life (Barthel Index) before and after treatment for comparison. The rehabilitation group accepted systematic rehabilitation management and guidance in community rehabilitation room, and the control group was given the equipments from community rehabilitation centers for free to train at home. Results: After treatment for 3 months, scores of NIHSS in two groups were significantly lower than those before the treatment (P<0.05), and the scores of rehabilitation group were lower than those in the control group (P<0.01). There were no significant differences in rehabilitation group before and after treatment. By comparing the two groups of patients during the different phases, the mastery degree of stroke rehabilitation related knowledge and Barthel Index in rehabilitation group were significantly improved as compared with those before the treatment and those in the control group after treatment (P<0.05). Conclusion: The new type of community rehabilitation model which sets up stoke rehabilitation room in community health center to provide systematic rehabilitation service for patients can promote neurological function rehabilitation of stroke patients and improve the ability of daily living activities after discharge, and is worth of being generalized.
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