CAJ | 학술논문

目的：观察脑卒中患者出院后康复情况及其影响因素。方法：采用调查问卷方式对出院3个月以上的脑卒中患者或其家属进行电话回访。结果：102例卒中患者，83例（81.4%）患者选择到镇、区级及以上医院就诊，而愿意选择到附近的社区医院就诊的仅19人（18.6%）。101例（99.0%）患者在出院后有继续使用药物治疗，仅10例（9.8%）进行规范的康复治疗。不同缺陷程度的脑卒中患者对康复需求有差别（P﹤0.05）。结论：脑卒中患者出院后康复治疗率低，社区就诊率低，对社区康复缺乏信心。通过加强康复教育，建立综合医院帮扶社区卫生服务站的模式，建立双向转诊模式，有助于提高脑卒中患者出院后康复治疗率。
목적：관찰뇌졸중환자출원후강복정황급기영향인소。방법：채용조사문권방식대출원3개월이상적뇌졸중환자혹기가속진행전화회방。결과：102례졸중환자，83례（81.4%）환자선택도진、구급급이상의원취진，이원의선택도부근적사구의원취진적부19인（18.6%）。101례（99.0%）환자재출원후유계속사용약물치료，부10례（9.8%）진행규범적강복치료。불동결함정도적뇌졸중환자대강복수구유차별（P﹤0.05）。결론：뇌졸중환자출원후강복치료솔저，사구취진솔저，대사구강복결핍신심。통과가강강복교육，건립종합의원방부사구위생복무참적모식，건립쌍향전진모식，유조우제고뇌졸중환자출원후강복치료솔。
Objective:To investigate the current situation and influencing factors on rehabilitation treatment in discharged stroke patients in Shunde district.Method:Stroke patients discharged more than three months and their family members received questionnaires by telephone follow-up. Result:The consultation rate of hospital in district,town and community was 81.37% and 18.63%,respectively. Among 122 patients,99% received drug therapy,whereas 9.8% received standard rehabilitation treatment. Stroke patients with different Bathel indes have different requirements for rehabilitation( P﹤ 0.05). Conclusion:Discharged stroke patients show low rates of rehabilitation treatment and community consultation,with less trust rely on community-based rehabilitation in Shunde district. Strengthening education of rehabilitation treatment,supporting community health service stations with general hospitals,and establishing two-way referral system is helpful in increasing the rehabilitation treatment rate of the discharged stroke patients.