CAJ | 학술논문

目的：探讨社区规范化康复管理模式对脑卒中患者恢复的效果。方法将120例脑卒中的患者按居住地情况分为两组，每组各60例。观察组给予患者社区康复指导，对照组患者不给予额外康复指导。随访两年收集并比较两组患者血压、血糖、血脂、 Fugl-Meyer评分以及BI指数情况。结果观察组患者预后明显优于对照组(P＜0.05)；在危险程度分组中，观察组高危人数明显减少，中危人数明显增加(P＜0.05)。两组患者出院后Fugl-Meyer评分、 BI指数均有明显改善，且观察组改善程度明显优于对照组(P＜0.05)。结论对脑卒中后患者，社区规范化康复管理可以明显改善患者预后，控制和减少危险因素。
목적：탐토사구규범화강복관리모식대뇌졸중환자회복적효과。방법장120례뇌졸중적환자안거주지정황분위량조，매조각60례。관찰조급여환자사구강복지도，대조조환자불급여액외강복지도。수방량년수집병비교량조환자혈압、혈당、혈지、 Fugl-Meyer평분이급BI지수정황。결과관찰조환자예후명현우우대조조(P＜0.05)；재위험정도분조중，관찰조고위인수명현감소，중위인수명현증가(P＜0.05)。량조환자출원후Fugl-Meyer평분、 BI지수균유명현개선，차관찰조개선정도명현우우대조조(P＜0.05)。결론대뇌졸중후환자，사구규범화강복관리가이명현개선환자예후，공제화감소위험인소。
Objective To study the effect of standardized mode of community-based rehabilitation management in stroke patients. Methods 120 stroke patients were divided into two groups, with 60 cases in each group. The observation group was given community-based rehabilitation guidance, the control group was not given additional rehabilitation guidance. All patients were followed up for two years. The BP, BG, BL, Fugl-Meyer score and BI index were compared. Results The prognosis of observation group was better than that of control group (P<0.05);In four groups of hazard level, the number of high risk of observation group decreased, and the number of moderate risk increased (P <0.05). The Fugl-Meyer score and BI index of two groups after leaving the hospital were improved, and the improvement degree of observation group was better than that of control group (P<0.05). Conclusions For patients with stroke, standardized mode of community-based rehabilitation management can significantly improve the prognosis of patients, control and reduce the risk factors.