中国脑卒中患者远程康复管理专家共识

doi:10.3969/j.issn.1006-9771.2025.11.001

摘要/Abstract

摘要：

目的基于循证方法，形成对脑卒中患者远程康复管理的专家共识。

方法采用德尔菲法形成问题清单和推荐意见，运用GRADE系统评估证据质量和推荐强度，根据RIGHT清单报告专家共识结果。

结果在门诊康复及短期住院康复治疗不能完全满足脑卒中患者的康复需求情况下，由康复医师、物理治疗师、作业治疗师、言语治疗师、心理治疗师、康复专科护师等组成的远程康复医疗团队可为患者提供远程康复医疗服务。针对远程康复概况、适用范围、实施、管理4个领域，形成17条共识意见。

结论针对脑卒中患者远程康复规范化实施的相关问题达成专家共识意见，有助于提升脑卒中患者远程康复的质量和安全性。

关键词: 脑卒中, 远程康复, 专家共识

Abstract:

Objective To develop an expert consensus on telerehabilitation management for stroke patients using evidence-based methods.

Methods The Delphi method was adopted to form a list of questions and recommended opinions. The GRADE system was used to assess the quality of evidence and the strength of recommendations. The results of the expert consensus were reported in accordance with the RIGHT checklist.

Results A telerehabilitation medical team composed of rehabilitation physicians, physical therapists, occupational therapists, speech therapists, psychological therapists and rehabilitation specialist nurses, etc., would provide services for the stroke patients if outpatient rehabilitation and short-term inpatient rehabilitation could not fully meet the needs. A total of 17 consensus opinions were formed covering four domains: overview, scope of application, implementation and management.

Conclusion Expert consensus has been reached on issues related to the standardized implementation of telerehabilitation for stroke patients, which is conducive to improving the quality and safety.

Key words: stroke, telerehabilitation, expert consensus

中图分类号:

R743.3

中国康复医学会多学科康复诊疗工作委员会, 中华医学会神经病学分会神经康复专业组, 中国康复研究中心. 中国脑卒中患者远程康复管理专家共识[J]. 《中国康复理论与实践》, 2025, 31(11): 1241-1255.

Multidisciplinary Rehabilitation Diagnosis and Treatment Working Committee of Chinese Association of Rehabilitation Medicine , Neurorehabilitation Professional Group, Neurology Branch of Chinese Medical Association , China Rehabilitation Research Center . Expert consensus on telerehabilitation management for stroke patients in China[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(11): 1241-1255.

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