CAJ | 학술논문

目的探讨对脑卒中患者行社区连续性康复干预的效果.方法采用目的抽样的方法选择符合纳入及排除标准的北京市西城区月坛社区脑卒中患者64例作为康复组,选择同期西城区月坛社区以外符合纳入排除标准的脑卒中患者64例作为对照组.培训月坛10个社区卫生服务站的社区医生与护士16人,对康复组患者进行康复干预,干预6个月后与未给予社区康复干预的对照组比较,评价康复干预效果. 结果干预后康复组和对照组Fugl-Meyer运动功能评分分别为(76.14±12.48)分和(19.36±14.32)分,2组比较差异有统计学意义,P<0.05;Barthel指数评分干预后康复组和对照组分别为(72.25±10.22)分和(22.62±9.71)分,2组比较差异有统计学意义,P<0.05.此外,康复组患者相关健康知识的知晓率,健康行为实施率都显著优于对照组,P<0.05. 结论畅通的社区康复信息网络和系统的康复干预可以改善脑卒中患者运动功能,明显提高其日常生活自理能力.
목적 탐토대뇌졸중환자행사구련속성강복간예적효과.방법 채용목적추양적방법선택부합납입급배제표준적북경시서성구월단사구뇌졸중환자64례작위강복조,선택동기서성구월단사구이외부합납입배제표준적뇌졸중환자64례작위대조조.배훈월단10개사구위생복무참적사구의생여호사16인,대강복조환자진행강복간예,간예6개월후여미급여사구강복간예적대조조비교,평개강복간예효과. 결과 간예후강복조화대조조Fugl-Meyer운동공능평분분별위(76.14±12.48)분화(19.36±14.32)분,2조비교차이유통계학의의,P<0.05;Barthel지수평분간예후강복조화대조조분별위(72.25±10.22)분화(22.62±9.71)분,2조비교차이유통계학의의,P<0.05.차외,강복조환자상관건강지식적지효솔,건강행위실시솔도현저우우대조조,P<0.05. 결론 창통적사구강복신식망락화계통적강복간예가이개선뇌졸중환자운동공능,명현제고기일상생활자리능력.
Objective To explore the pathway of continuous rehabilitation intervention in community stroke patients and to evaluate its effect. Methods Stroke patients (64 cases) were selected from Yuetan community as the rehabilitation group by objective sampling based on inclusive and exclusive standard and 64 stroke patients wre selected from other community in Xicheng district as the control group. At the same time, 16 doctors and nurses from 10 clinics of Yuetan community health service center were trained and they gave reha-bilitative intervention to the rehabilitation group. After intervention for 6 months, the effect of rehabilitative in-tervention was evaluated compared with the control group who did not receive rehabilitative intervention. Re-suits The Fugl-Meyer score of the rehabilitation group was (76.14±12.48), the score of the control group was (19.36±14.32),which had significant difference compared with the rehabilitation group, P < 0.05. The Batthel index of the rehabilitation group was (72.25±10.22), the index of the control group was (22.62±9.71),which was significantly different from that of the rehabilitation group, P < 0.05.Besidcs, the rate of knowing health knowledge and healthy exercise in the rehabilitation group was higher than that of the control group, P < 0.05. Condusions The rehabilitation information net and systemic community rehabilitation intervention can im-prove the motor ability and the ability of daily activity for patients with stroke.