中国全科医学2011，Vol.14Issue(35)：4025-4027,3.
脑卒中社区康复简易适宜技术在社区脑卒中患者中的应用及效果分析
Application and Effect of Appropriate Technologies of Community Rehabilitation for Stroke Survivors
摘要
Abstract
Objective The study was aimed at directing stroke survivors' rehabilitation practice with appropriate community rehabilitation technologies for stroke survivors in communities and assessing its application effects. Methods Between September 2008 and August 2009, five medical professionals from the Yongwai CCHS had been trained the appropriate technologies of community rehabilitation for stroke survivors. 70 stroke survivors were recruited and divided into 7 groups with 8 ~ 12 patients each. The patients of each group successively and separately joined 3 - month training of collective rehabilitation with the appropriate technologies directed by community medical professionals. The application effects of the appropriate technologies were assessed by changes in motion function, activities of daily living ( ADL ) and social activities before and after practice. Results Through 3 - month rehabilitation training and practice, mean scores of motion function at Fugl - Meyer assessment in 70 recruited patients were improved from ( 51. 9 ±25. 0 ) before practice to ( 62. 1 ± 25. 2 ) after, with significance by paired t - test ( t = - 14. 056, P <0. 0001 ); median scores of ADL at Barthel index were improved from 82. 5 ( IQR: 70 ~ 95 ) before practice to 90.0 ( IQR: 75 ~100) after, with significance by paired Wilcoxon signed - rank test ( Z = -4.728, P < 0.0001 ); mean scores of social activities at Functional Activities Questionnaire ( FAQ ) were decreased from ( 11.0 ±7. 8) before practice to ( 9. 6 ±7. 4 ) after, with significance by paired t -test ( t =4. 051, P <0. 0001 ). Conclusion The appropriate technologies of community rehabilitation for stroke survivors are easy to master. Stroke patients in communities can practice them in the course of their daily life, and their quality of life can be improved.关键词
脑卒中/社区康复/适宜技术/效果评价Key words
Stroke/Community rehabilitation/Appropriate technology/Effect assessment分类
医药卫生引用本文复制引用
吴矿文,王文志,江滨,梁杰,刘勇刚,张宗丽,闫淑媛,刘峰,吴升平,戴红..脑卒中社区康复简易适宜技术在社区脑卒中患者中的应用及效果分析[J].中国全科医学,2011,14(35):4025-4027,3.基金项目
国家科技部"十一五"支撑计划项目"社区脑卒中预防与控制适宜技术研究"(2007BAl24B03)的子课题"脑卒中患者出院后家庭及社区康复简易干预技术评估" （2007BAl24B03）
