CAJ | 학술논문

目的：探讨全科团队式管理对社区脑卒中患者康复的影响。方法对2012年12月-2014年2月管理期间的湛江市街道社区脑卒中患者168例，分为对照组(84例)和实验组(84例)，提供14个月的上门服务，对脑卒中患者治疗所使用的药物剂量和种类及时进行调整与使用指导。实验组采取全科团队式管理、康复训练指导和康复疗法、心理疏导和康复宣教等，对照组只进行药物剂量和种类使用指导。结果全科团队式管理干预前两组患者比较差异无统计学意义(P>0.05)；实验14个月后，实验组与对照组差异有统计学意义(P<0.05)，社区治疗的费用相对较低并且患者的满意度较高。结论全科团队式管理能有效促进社区脑卒中患者康复。
목적：탐토전과단대식관리대사구뇌졸중환자강복적영향。방법대2012년12월-2014년2월관리기간적담강시가도사구뇌졸중환자168례，분위대조조(84례)화실험조(84례)，제공14개월적상문복무，대뇌졸중환자치료소사용적약물제량화충류급시진행조정여사용지도。실험조채취전과단대식관리、강복훈련지도화강복요법、심리소도화강복선교등，대조조지진행약물제량화충류사용지도。결과전과단대식관리간예전량조환자비교차이무통계학의의(P>0.05)；실험14개월후，실험조여대조조차이유통계학의의(P<0.05)，사구치료적비용상대교저병차환자적만의도교고。결론전과단대식관리능유효촉진사구뇌졸중환자강복。
Objective To investigate the effect of the team management on the rehabilitation of patients with cerebral apoplexy. Methods From December 2012 to February 2014 of management during the stroke patients in Zhanjiang City Street Community in 168 cases, divided into control group (84 cases) and experimental group (n=84), 14 months of on-site service, for use in the treatment of stroke patients with the drug doses and types of timely adjustments and the use of guid-ance. Experimental group take full of team management, rehabilitation training and rehabilitation therapy (including occupa-tional therapy, cognitive intervention and exercise therapy and so on), psychological counseling and rehabilitation education, and only drug dosage and type of guidance to the control group. Results General practitioner team management before the intervention, two groups of patients the difference no significant (P>0.05); after 14 months of experiment, the experimental group and the control group with significant difference (P<0.05), the cost of community treatment is relatively low and high patient satisfaction. Conclusion The team management can effectively promote the rehabilitation of patients with stroke.