CAJ | 학술논문

目的了解我国城市社区卒中患者康复知识知晓和接受康复治疗状况,为制订适宜的康复知识教育和康复治疗计划提供依据. 方法在北京、上海和成都3个城市社区,以问卷调查形式对964例卒中患者康复知识知晓、接受康复治疗情况以及康复需求的现况进行调查. 结果在被调查的964例卒中患者中,325例(33.7%)社区卒中患者表示接受过康复知识教育,仅有100例(10.4%)表示对康复治疗比较了解和很了解.714例(74.1%)患病后进行了住院治疗,294例(30.4%)住院期间接受过康复治疗,其中198例(20.5%)只接受过针灸治疗和按摩、推拿治疗,178例(18.5%)接受过运动疗法治疗.出院后,仅有250例患者继续接受康复治疗.不接受康复治疗的原因中,“从来就不知道康复治疗”是最主要的原因,占65.2%.74.3%的患者表示如果社区医院能够提供康复治疗服务,愿意在社区接受康复治疗.现实中却只有8.3%的患者出院后在社区接受继续康复治疗. 结论我国城市社区卒中患者出院后康复治疗的状况总体较差.在社区人群中建立康复宣传措施以及康复治疗计划非常必要.
목적료해아국성시사구졸중환자강복지식지효화접수강복치료상황,위제정괄의적강복지식교육화강복치료계화제공의거. 방법재북경、상해화성도3개성시사구,이문권조사형식대964례졸중환자강복지식지효、접수강복치료정황이급강복수구적현황진행조사. 결과재피조사적964례졸중환자중,325례(33.7%)사구졸중환자표시접수과강복지식교육,부유100례(10.4%)표시대강복치료비교료해화흔료해.714례(74.1%)환병후진행료주원치료,294례(30.4%)주원기간접수과강복치료,기중198례(20.5%)지접수과침구치료화안마、추나치료,178례(18.5%)접수과운동요법치료.출원후,부유250례환자계속접수강복치료.불접수강복치료적원인중,“종래취불지도강복치료”시최주요적원인,점65.2%.74.3%적환자표시여과사구의원능구제공강복치료복무,원의재사구접수강복치료.현실중각지유8.3%적환자출원후재사구접수계속강복치료. 결론아국성시사구졸중환자출원후강복치료적상황총체교차.재사구인군중건립강복선전조시이급강복치료계화비상필요.
@@@@Objective To identify the current situation of rehabilitation awareness, demand for rehabilitation therapy of stroke patients in the communities of Chinese cities, in order to provide reference for rehabilitation education and suitable rehabilitation programs. @@@@Methods This community-based survey involving 964 stroke patients from three metropolises assesses rehabilitation awareness, the status of rehabilitation therapy and demands for rehabilitation therapy for stroke patients. @@@@Results Of the 964 patients, 33.7%(325) reported that they had received information on stroke rehabilitation and only 10.4%(100) patients were well informed of the topic. Seven hundred and fourteen(74.1%) had been hospitalized and 30.4%(294/964) received acute rehabilitation therapy during hospitalization. Of them, 198(20.5%) patients only received acupuncture and massage or manipulation;178(18.5%) received physical therapy. After discharge, 35%(250/714) received continuous rehabilitation services. Among the reasons of not receiving rehabilitation services,"Don't know rehabilitation therapy" was placed on the first rank of all reasons. Most stroke patients(74.3%) preferred to receiving rehabilitation services in the centers of community health service. In fact, only 80(8.3%) received community-based rehabilitation(CBR) after discharge. @@@@Conclusion The status of rehabilitation therapy is worse than expected. The lack of awareness is an important barrier to early rehabilitation therapy. The importance of establishing an effective education and rehabilitation program to improve status of rehabilitation for stroke survivors should be emphasized.