CAJ | 학술논문

目的：调查宜川社区新发脑卒中患者及家属对社区脑卒中康复的认知与需求状况。方法：2011年1-12月采用自行编制的问卷对社区新发脑卒中患者248例及家属548名进行调查，内容包括一般特征、对社区康复的认知及需求。结果：患者及家属对社区脑卒中康复的知晓率为38.9%，康复基本知识得分为（15.7±4.9）分；且与文化程度高低有关（P＜0.05）。脑卒中患者对社区康复需求依次为后遗症应对支持需求（40.7%）、日常活动支持需求（30.2%）及并发症支持需求（23.8%），而家属则依次为日常活动支持需求（39.6%）、后遗症应对支持需求（32.5%）及心理支持需求（26.5%）。被调查人群脑卒中康复的认知仍处于较低水平，但需求较高，患者与家属需求不完全相同，但后遗症应对支持需求强烈。结论：应加强脑卒中社区康复的科普宣传，强化社区康复人才的培养，以满足需求。
목적：조사의천사구신발뇌졸중환자급가속대사구뇌졸중강복적인지여수구상황。방법：2011년1-12월채용자행편제적문권대사구신발뇌졸중환자248례급가속548명진행조사，내용포괄일반특정、대사구강복적인지급수구。결과：환자급가속대사구뇌졸중강복적지효솔위38.9%，강복기본지식득분위（15.7±4.9）분；차여문화정도고저유관（P＜0.05）。뇌졸중환자대사구강복수구의차위후유증응대지지수구（40.7%）、일상활동지지수구（30.2%）급병발증지지수구（23.8%），이가속칙의차위일상활동지지수구（39.6%）、후유증응대지지수구（32.5%）급심리지지수구（26.5%）。피조사인군뇌졸중강복적인지잉처우교저수평，단수구교고，환자여가속수구불완전상동，단후유증응대지지수구강렬。결론：응가강뇌졸중사구강복적과보선전，강화사구강복인재적배양，이만족수구。
Objective:To investigate the cognition and requirement of the community stroke rehabilitation in the patients with the new onset of stroke and their family members in Yichuan Community. Methods:From Jan. to Dec 2011, 248 cases of the new onset of stroke and 548 family members in the community were investigated with the self-designed questionnaire which included the general characteristics, cognition and requirement of the community rehabilitation. Results:The awareness rate of the community stroke rehabilitation in the patients and their family members was 38.9%, and the score of the basic knowledge about the rehabilitation 15.7±4.9 which was associated with the educational level (P<0.05). The requirements of the community rehabilitation of the patients were the support needs of sequelae treatment (40.7%), daily activity (30.2%) and complications (28.6%) in turn. Meanwhile, the requirements of the community rehabilitation of their family members were the support needs of the daily activity (39.6%), sequelae treatment (32.5%), and psychology (26.5%). The cognition of the stroke rehabilitation in the subjects was still at a low level, but their demand high. The requirements of the patients and their family members were not identical, but the requirements of support need for the sequelae treatment was strong. Conclusion:The scientiifc education of the community stroke rehabilitation and the training of the community rehabilitation personnel should be strengthened to meet the requirements.