中国卒中杂志2017，Vol.12Issue(7)：598-603,6.DOI:10.3969/j.issn.1673-5765.2017.07.007
北京城市卒中社区康复及危险因素自我管理效果分析
The Effect Analysis of Community-based Rehabilitation and Risk Factors Self-management for Stroke Patients in Urban of Beijing
摘要
Abstract
Objective To evaluate the effectiveness of a community-based rehabilitation based on conductive education and self-management measures of risk factors in improving awareness, behavior and functional recovery of stroke survivors. Methods Two communities were selected as either the intervention or control community in Dongcheng District. A 3-month community-based rehabilitation treatment plan and 6-month risk factors self-management program, based on modern rehabilitation theory, conductive education and risk factor self-management for stroke survivors, was successively implemented among 109 patients in intervention community. The effects before and after the intervention were evaluated through comparing stroke survivors in intervention community with themselves and 110 stroke survivors in control community. Results After 3-month rehabilitation treatment, median Fugel-Meyer assessment (FMA) score for stroke survivors in intervention community was enhanced from 57.0 (30.0-81.5) to 70.5 (40.5-92.0) (P<0.001), median Barthel index (BI) score from 90 (65-95) to 95 (75-100) (P<0.001) and mean score of function activity questionnaire (FAQ) was decreased from (11.6±8.3) to (10.1±8.4) (P<0.001). After 6-month self-management, the stroke risk factors awareness (P<0.001), warning awareness (P<0.001), rehabilitation awareness (P<0.001), blood glucose control (P=0.033) and adherence to rehabilitation(P<0.001) in intervention community were significantly higher than that in control community. Conclusion Community-based rehabilitation treatment and risk factors self-management program may improve awareness, behavior and functional recovery of stroke survivors.关键词
卒中/社区康复/引导式教育/危险因素/自我管理Key words
Stroke/Community-based rehabilitation/Conductive education/Risk factor/Self-management引用本文复制引用
茹小娟,江滨,张辉,孙海欣,孙冬玲,付洁,吴升平,王文志..北京城市卒中社区康复及危险因素自我管理效果分析[J].中国卒中杂志,2017,12(7):598-603,6.基金项目
国家科技部"十二五"支撑计划课题"全国脑血管病流行病学横断面调查、示范社区高危人群早期筛查干预技术及临床研究公共平台技术研究"(2011BAI08B01) （2011BAI08B01）
