文章摘要
文丽佳,杨丽,贺萌.老年脑卒中患者的康复需求及影响因素研究[J].中国康复,2019,34(2):72-74
老年脑卒中患者的康复需求及影响因素研究
Rehabilitation needs and influencing factors of senile stroke patients
  
DOI:
中文关键词: 脑卒中  康复需求  影响因素
英文关键词: Stroke  Rehabilitation needs  Influencing factors
基金项目:
作者单位
文丽佳 成都市中西医结合医院神经内科成都 610017 
杨丽 成都市中西医结合医院神经内科成都 610017 
贺萌 成都市中西医结合医院神经内科成都 610017 
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中文摘要:
  目的:了解老年脑卒中患者的康复需求,并分析其相关影响因素。方法:对我院门诊收治的100例老年脑卒中患者进行问卷调查,调查患者对健康教育、运动训练、吞咽训练等方面的康复需求。根据调查结果,将其分为需求组和无需求组,采用单因素和多因素Logistic回归分析影响康复需求的相关因素。结果:研究对象对健康教育、运动训练、吞咽训练、针灸按摩、康复支具、心理干预、日常生活能力训练等7个方面的康复需求评分为(3.07±0.58)分、(3.25±0.67)分、(3.12±0.61)分、(2.98±0.54)分、(2.76±0.51)分、(2.93±0.56)分、(3.02±0.59)分。以运动训练康复需求得分最高。多因素Logistic回归分析显示,年龄、文化程度、家庭月收入、病程、神经功能缺损评分、日常生活能力评分、残疾程度是影响老年脑卒中患者康复需求的因素(P<0.05)。结论:老年脑卒中患者的康复需求存在差异,年龄、文化程度、经济状况、病程、神经功能和日常生活能力、残疾程度等为其影响因素。
英文摘要:
  Objective: To investigate the rehabilitation needs of elderly stroke patients and analyze the related factors influencing their rehabilitation needs. Methods: A total of 100 elderly stroke patients were selected from our hospital from January 2015 to December 2017. A questionnaire survey was conducted to investigate their needs on health education, exercise training, swallowing training, acupuncture and massage, rehabilitation support, psychological intervention, daily living ability training. They were further divided into the demand group and no demand group according to the investigation. Multivariate Logistic regression was used to analyze the related factors. Results: The score of health education, sports training, swallowing training, acupuncture and massage, rehabilitation, psychological intervention, daily living ability training was (3.07±0.58), (3.25±0.67), (3.12±0.61), (2.98±0.54), (2.76±0.51), (2.93±0.56) and (3.02±0.59), respectively. Logistic regression analysis showed that age, cultural level, family income, course of disease and neural function defect scale, daily life ability score, and degree of disability were related to their rehabilitation needs (P<0.05). Conclusion: Elderly patients with stroke have different rehabilitation needs. Age, education, family income, course of disease, neurological impairment score, daily living ability score, and disability degree affect the rehabilitation needs.
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