中国康复理论与实践2026，Vol.32Issue(5)：597-603,7.DOI:10.3969/j.issn.1006-9771.2026.05.010
"医社协同"模式对社区脑卒中患者心理和运动功能的效果
Effect of medical-community linkage model on psychological status and motor function in community-dwelling patients with stroke
摘要
Abstract
Objective To explore the effect of the medical-community linkage model on activities of daily living,psychological sta-tus and motor function of stroke patients in the community. Methods A total of 60 stroke patients admitted to two community health service centers and their affiliated stations in Fengtai District,Beijing,from January,2024 to August,2025 were enrolled and randomly divided into control group(n=30)and intervention group(n=30).The control group received routine medicine,dietary care and re-habilitation management,while the intervention group underwent rehabilitation with the medical-community linkage model,for twelve weeks.They were assessed with modified Barthel Index(MBI),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Fugl-Meyer Assessment(FMA)before and after inter-vention. Results After intervention,the MBI,HAMA,HAMD and FMA scores of patients improved in both groups(|t|>5.599,P<0.001),and improved more in the intervention group than in the control group(P<0.05),except MBI.The HAMA and HAMD scores of family members decreased in both groups(|t|>10.333,P<0.001),and decreased more in the intervention group than in the control group(t>5.681,P<0.001). Conclusion The medical-community linkage model can further improve the motor function of stroke patients in commu-nity,as well as the psychological status of both patients and their family members.关键词
脑卒中/医社协同/社区康复Key words
stroke/medical-community linkage model/community-based rehabilitation分类
医药卫生引用本文复制引用
谷玉红,段锦绣,薛明阳,杨婕,吴瑕,刘华,高宇芳,张蒙惠,叶财德.."医社协同"模式对社区脑卒中患者心理和运动功能的效果[J].中国康复理论与实践,2026,32(5):597-603,7.基金项目
1.首都卫生发展科研专项项目(No.首发 2023-3S-015) （No.首发 2023-3S-015）
2.北京市丰台区卫生健康系统科研项目(No.2023-14) Supported by Capital Health Development Research Special Project(No.2023-3S-015)and Scientific Research Project of Health System in Fengtai District of Beijing(No.2023-14) （No.2023-14）
