Community rehabilitation of country in the city of Tong Xiang |
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EN KeyWords: stroke community rehabilitation |
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EN Abstract: |
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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