《中国康复理论与实践》 ›› 2016, Vol. 22 ›› Issue (12): 1467-1466.doi: 10.3969/j.issn.1006-9771.2016.12.023

• 社区康复 • 上一篇    下一篇

社区综合康复管理对脑卒中后遗症患者生活质量的影响

田凌1,谢家兴2,张静1,林庆1,冷梅1,田静1,张剑 1   

  1. 1.西罗园社区卫生服务中心,北京市 100077;
    2. 中国康复研究中心北京博爱医院护理部,北京市 100068。
  • 收稿日期:2016-07-31 出版日期:2016-12-25 发布日期:2017-01-15
  • 通讯作者: 谢家兴,E-mail: bjdxjx@126.com。
  • 作者简介:田凌(1974-),女,汉族,山东滕州市人,副主任医师,主要研究方向:全科医学。
  • 基金资助:
    1.北京市丰台区卫生系统科学研究项目;2.中国康复研究中心2013年度科研项目(No. 2013-10)。

Effect of Community Comprehensive Rehabilitation Management on Quality of Life in Patients with Stroke Sequelae 

TIAN Ling1, XIE Jia-xing2, ZHANG Jing1, LIN Qing1, LENG Mei1, TIAN Jing1, ZHANG Jian 1   

  1. 1. Xiluoyuan Community Health Center, Beijing 100077, China;
    2. Beijing Bo'ai Hospital, China Rehabilitation Reserch Center, Beijing 100068, China
  • Received:2016-07-31 Published:2016-12-25 Online:2017-01-15
  • Contact: XIE Jia-xing. E-mail: bjdxjx@126.com

摘要: 目的 探讨家庭医生式服务模式下,社区综合康复对脑卒中后遗症患者生活质量的影响。方法 2013年10月~2014年10月,51例脑卒中后遗症患者进行为期3个月的综合康复干预,包括康复训练、康复指导、健康教育和心理疏导。干预前后采用改良Barthel指数(MBI)、世界卫生组织残疾评定量表(WHO-DASⅡ)、简明健康状况调查表(SF-36)、脑损伤社区康复结果量表(BICRO-39)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评定。结果 干预后,患者SF-36中生理功能、生理职能、一般健康状况、精神健康评分及SF-36总分明显高于干预前(t>2.852, P<0.01),社会功能评分高于干预前(t=2.072, P<0.05);BICRO-39社交、移动能力评分明显低于干预前(t>2.872, P<0.01),自我处理事务能力评分和总分低于干预前(t>2.434, P<0.05);WHO-DASⅡ总分明显低于干预前(t=3.275, P<0.01),与人相处、家务活动和社会与参与评分低于干预前(t>2.507, P<0.05)。结论 在社区卫生服务中,由多学科组建康复团队,对脑卒中后遗症患者进行综合康复指导,可以改善患者生活质量。

关键词: 脑卒中后遗症, 社区综合康复, 生活质量

Abstract: Objective To explore the effect of community comprehensive rehabilitation on quality of life in patients with stroke sequelae under the family medical service mode.Methods From October, 2013 to October, 2014, 51 patients with stroke sequelae received comprehensive rehabilitation intervention for three months, including rehabilitation training, rehabilitation guidance, health education and psychological counseling. They were assessed with modified Barthel index (MBI), WHO-Disability Assessment Schedule (WHO-DASⅡ), Short Form 36 Health Survey Questionnaire (SF-36), Brain Injury Community Rehabilitation Outcome Scales (BICRO-39), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) before and after intervention.Results The scores of physical functionning, role physical, general health, mental health, social functioning and the total score in SF-36 increased after intervention (t>2.072, P<0.05). The scores of social contact, locomotivity, self handling transaction ability and the total score in BICRO-39 decreased after intervention (t>2.434, P<0.05), as well as the scores of getting along with people, housework and society and participation in WHO-DAS II (t>2.507, P<0.05).Conclusion In the community health service, comprehensive rehabilitation guided by multidisciplinary rehabilitation team can facilitate to improve the quality of life in patients with stroke sequela.

Key words: stroke sequelae, community comprehensive rehabilitation, quality of life

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