Chinese Journal of Rehabilitation Theory and Practice ›› 2025, Vol. 31 ›› Issue (1): 1-20.doi: 10.3969/j.issn.1006-9771.2025.01.001
LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, ()
Received:
2024-12-09
Revised:
2024-12-19
Published:
2025-01-25
Online:
2025-01-22
Contact:
ZHOU Mouwang, E-mail: CLC Number:
LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, . 2023 National Report on Rehabilitation Medicine Services, Quality and Safety in Medical Care System[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(1): 1-20.
Table 1
Number and proportion of rehabilitation assessment and operation items for inpatients"
重点操作项目 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 | |
---|---|---|---|---|---|
科年均脑卒中人数/n | 309.82 | 170.88 | 210.35 | 1132.68 | |
NIHSS评定/n(%) | 162.17(52.30) | 94.37(55.20) | 96.60(45.90) | 23.50(2.10) | |
Brunnstrom评定/n(%) | 285.17(92.00) | 146.43(85.70) | 189.37(90.00) | 875.13(77.30) | |
科年均脑外伤人数/n | 30.20 | 12.44 | 23.61 | 89.76 | |
Glasgow Coma Scale评定/n(%) | 22.49(74.50) | 9.10(73.20) | 17.49(74.10) | 44.30(49.40) | |
科年均脊髓损伤人数/n | 27.75 | 7.57 | 13.65 | 127.44 | |
脊髓损伤神经学分类国际标准评定/n(%) | 26.58(95.80) | 6.61(87.30) | 13.15(96.30) | 93.57(73.40) | |
脊髓独立性评估/n(%) | 13.48(48.60) | 3.70(48.90) | 5.92(43.40) | 89.21(70.00) | |
科年均失语症人数/n | 74.34 | 30.97 | 42.27 | 185.43 | |
失语症筛查简易试验/n(%) | 68.61(92.30) | 26.81(86.60) | 35.63(84.30) | 167.75(90.50) | |
语言康复训练/n(%) | 63.44(85.30) | 26.65(86.10) | 37.06(87.70) | 156.57(84.40) | |
科年均构音障碍人数/n | 58.81 | 30.53 | 37.73 | 171.78 | |
Frenchay构音障碍评定/n(%) | 46.71(79.40) | 22.50(73.70) | 26.74(70.90) | 141.94(82.60) | |
言语康复训练/n(%) | 51.49(87.60) | 26.09(85.50) | 32.61(86.40) | 138.57(80.70) | |
科年均吞咽障碍人数/n | 109.39 | 47.38 | 62.22 | 360.29 | |
洼田饮水试验/n(%) | 102.28(93.50) | 45.52(96.10) | 57.80(92.90) | 317.55(88.10) | |
吞咽造影检查/n(%) | 19.65(18.00) | 4.97(10.50) | 8.99(14.40) | 104.94(29.10) | |
吞咽训练/n(%) | 100.05(91.50) | 42.06(88.80) | 54.71(87.09) | 312.23(86.70) | |
科年均神经源性膀胱人数/n | 34.01 | 11.94 | 14.93 | 101.88 | |
排尿日记/n(%) | 24.93(73.30) | 7.76(65.00) | 7.70(51.06) | 72.56(71.20) | |
尿流动力学检查/n(%) | 12.51(36.80) | 2.64(22.10) | 3.02(20.20) | 29.68(29.10) | |
间歇导尿/n(%) | 18.68(54.90) | 5.74(48.10) | 6.92(46.30) | 43.83(43.00) | |
科年均痉挛人数/n | 100.35 | 52.60 | 64.95 | 233.00 | |
改良Ashworth评定/n(%) | 97.82(97.50) | 50.13(95.30) | 62.81(96.70) | 225.81(96.90) | |
神经阻滞治疗/n(%) | 10.66(10.60) | 6.19(11.80) | 6.24(9.60) | 34.69(14.90) | |
科年均挛缩人数/n | 47.28 | 34.60 | 41.98 | 138.33 | |
关节活动度评定/n(%) | 45.09(95.40) | 32.57(94.10) | 37.65(89.70) | 128.78(93.10) | |
关节松动术/n(%) | 43.54(92.10) | 31.04(89.70) | 35.67(85.00) | 117.94(85.30) | |
牵伸治疗/n(%) | 41.22(87.20) | 27.33(79.00) | 32.21(76.70) | 119.44(86.30) | |
科年均深静脉血栓形成人数/n | 26.09 | 9.30 | 21.10 | 68.75 | |
临床特征评分/Wells评分/n | 235.12 | 84.19 | 123.05 | 431.74 | |
预防措施/n | 188.24 | 62.75 | 114.99 | 334.40 | |
科年均疼痛人数/n | 226.26 | 235.62 | 202.04 | 228.70 | |
疼痛视觉模拟评分/n(%) | 203.37(89.90) | 194.29(82.50) | 166.61(82.50) | 225.00(98.40) | |
物理因子治疗/n(%) | 211.58(93.50) | 219.29(93.10) | 189.70(93.90) | 218.43(95.50) | |
注射治疗/n(%) | 64.29(28.40) | 83.82(35.60) | 65.31(32.30) | 35.25(15.40) | |
科年均认知功能障碍人数/n | 87.32 | 38.02 | 65.46 | 392.74 | |
计算机辅助认知康复训练/n(%) | 58.37(66.80) | 17.38(45.70) | 37.1(56.70) | 95.94(24.40) | |
神经调控技术(重复经颅磁刺激/经颅直流电刺激)治疗/n(%) | 41.13(47.10) | 7.67(20.20) | 19.12(29.20) | 211.59(53.90) | |
出院脑卒中患者认知功能筛查(简易精神状态检查表/蒙特利尔认知评估量表)/n(%) | 110.03(35.50) | 43.75(25.60) | 80.99(38.50) | 316.58(27.90) | |
科年均髋膝关节置换术后人数/n | 13.96 | 6.06 | 9.04 | 60.92 | |
关节功能评定/n(%) | 13.01(93.20) | 5.69(93.90) | 7.96(88.10) | 28.76(47.20) |
Table 2
Implementation of rehabilitation nursing projects"
康复护理指标 | 三级综合医院 | 二级综合医院 | 民营医院 | 康复医院 | |
---|---|---|---|---|---|
脊髓损伤后神经源性膀胱/n | 34.01 | 11.94 | 14.93 | 101.88 | |
接受间歇性导尿健康教育/n(%) | 19.21(56.48%) | 4.72(39.53%) | 8.92(59.75%) | 93.72(91.99%) | |
人工关节置换术后/n | 13.96 | 6.06 | 9.04 | 60.92 | |
接受体位指导/n(%) | 8.91(63.83%) | 4.39(72.44%) | 6.20(68.58%) | 33.95(55.73%) | |
脑卒中/n | 309.82 | 170.88 | 210.35 | 1132.68 | |
接受肩痛预防健康教育/n(%) | 144.01(46.48%) | 79.211(46.35%) | 113.851(54.12%) | 630.391(55.65%) | |
脑卒中后吞咽障碍/n | 109.39 | 47.38 | 62.22 | 360.29 | |
接受营养筛查/n(%) | 108.23(98.94%) | 44.43(93.77%) | 60.11(96.61%) | 243.5(67.58%) | |
接受进食指导/n(%) | 107.7(98.46%) | 46.33(97.78%) | 58.2(93.54%) | 309.5(85.90%) |
[1] | 张娜, 张元鸣飞, 刘京宇, 等. 国家康复医学专业医疗服务与质量安全报告(2019年)[J]. 中华物理医学与康复杂志, 2020, 42(12): 1146-1152. |
ZHANG N, ZHANG Y M F, LIU J Y, et al. National Rehabilitation Medicine Professional Medical Service and Quality Safety Report (2019)[J]. Chin J Phys Med Rehabil, 2020, 42(12): 1146-1152. | |
[2] | 刘京宇, 杨延砚, 周谋望, 等. 国家康复医学专业医疗服务与质量安全报告(2020年)[J]. 中华物理医学与康复杂志, 2022, 44(10): 950-960. |
LIU J Y, YANG Y Y, ZHOU M W, et al. National Rehabilitation Medicine Professional Medical Service and Quality Safety Report (2019)[J]. Chin J Phys Med Rehabil, 2022, 44(10): 950-960. | |
[3] |
张元鸣飞, 杨延砚, 张娜, 等. 2021年度国家康复医学专业医疗服务与质量安全报告[J]. 中国康复理论与实践, 2022, 28(12): 1365-1379.
doi: 10.3969/j.issn.1006-9771.2022.12.001 |
ZHANG Y M F, YANG Y Y, ZHANG N, et al. 2021 National Report on Rehabilitation Medicine Services, Quality and Safety in Medical Care System[J]. Chin J Rehabil Theory Pract, 2022, 28(12): 1365-1379. | |
[4] |
刘京宇, 杨延砚, 张元鸣飞, 等. 2022年度国家康复医疗服务与质量安全报告[J]. 中国康复理论与实践, 2024, 30(2): 125-140.
doi: 10.3969/j.issn.1006-9771.2024.02.001 |
LIU J Y, YANG Y Y, ZHANG Y M F, et al. 2022 Country Report on Medical Rehabilitation Services, Quality and Safety in Health Care System[J]. Chin J Rehabil Theory Pract, 2024, 30(2): 125-140. | |
[5] | 周谋望. «国家医疗服务与质量安全报告»康复医学专业指标解读[J]. 康复学报, 2022, 32(1): 1-5. |
ZHOU M W. Interpretation of Rehabilitation Medicine Specialty Indicators in National Report on the Services, Quality and Safety in Medical Care System[J]. Rehabil Med, 2022, 32(1): 1-5. | |
[6] | 国家卫生部医政司. 卫生部关于印发«综合医院康复医学科基本标准(试行)»的通知[EB/OL]. (2011-05-24)[2022-10-30]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=51787. |
[7] | 国家卫生部医政司. 卫生部关于印发«康复医院基本标准(2012年版)»的通知[A/OL]. (2012-04-25)[2022-10-30]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=54557. |
[8] |
汤修齐, 邱服冰, 邱卓英, 等. 国际康复政策架构与核心内容研究:基于世界卫生组织康复政策文件的内容分析[J]. 中国康复理论与实践, 2021, 27(9): 996-1005.
doi: 10.3969/j.issn.1006-9771.2021.09.002 |
TANG X Q, QIU F B, QIU Z Y, et al. Theoretical framework and key elements of international rehabilitation policy: contents analysis of WHO rehabilitation policy documents[J]. Chin J Rehabil Theory Pract, 2021, 27(9): 996-1005. | |
[9] | 国家卫生健康委医政管理局. 关于印发加快推进康复医疗工作发展意见的通知[A/OL]. (2021-06-16)[2022-10-30]. http://www.nhc.gov.cn/yzygj/s7653pd/202106/c1053bb207f94415aeb8f393b8716b8e.shtml. |
[10] | World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies[M]. Geneva: World Health Organization, 2010. |
[11] | World Health Organization. Everybody's business: strengthening health systems to improve health outcomes: WHO's framework for action[R]. Geneva: World Health Organization, 2007. |
[12] |
邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南«健康服务体系中的康复»:背景、理论架构与方法、主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1): 16-20.
doi: 10.3969/j.issn.1006-9771.2020.01.003 |
QIU Z Y, KWOK J K F, LI L, et al. World Health Organization Rehabilitation Guide Rehabilitation in Health Service System: background, theoretical framework and methods, main contentsand implementation[J]. Chin J Rehabil Theory Pract, 2020, 26(1): 16-20. | |
[13] | 世界卫生组织. 康复指标清单:康复监测和评估架构配套的工具[M]. 邱卓英,译. 日内瓦: 世界卫生组织, 2020. |
World Health Organization. Rehabilitation indicator menu: a tool accompanying the Framework for Rehabilitation Monitoring and Evaluation (FRAME)[M]. QIU Z Y, trans trans. Geneva: World Health Organization, 2020. | |
[14] |
邱卓英, 李伦, 陈迪, 等. 基于世界卫生组织国际健康分类家族康复指南研究:理论架构和方法体系[J]. 中国康复理论与实践, 2020, 26(2): 125-135.
doi: 10.3969/j.issn.1006-9771.2020.02.001 |
QIU Z Y, LI L, CHEN D, et al. Research on rehabilitation guidelines using World Health Organization Family International Classifications: framework and approaches[J]. Chin J Rehabil Theory Pract, 2020, 26(2): 125-135. | |
[15] |
李沁燚, 邱卓英, 陈迪, 等. 基于ICF 构建国家功能、残疾和健康的信息架构和数据体系[J]. 中国康复理论与实践, 2017, 23 (4): 385-389.
doi: 10.3969/j.issn.1006-9771.2017.04.004 |
LI Q Y, QIU Z Y, CHEN D, et al. Construction of national framework and data systems of functioning, disability, and health of information using ICF[J]. Chin J Rehabil Theory Pract, 2017, 23(4): 385-389. | |
[16] | 世界卫生组织. 国际功能、残疾和健康分类(国际中文增补版)[M]. 邱卓英,译. 日内瓦: 世界卫生组织, 2015. |
World Health Organization. International Classification of Functioning, Disability and Health (International Chinese Supplement)[M]. QIU Z Y, trans trans. Geneva: World Health Organization, 2015. |
[1] | YE Ruixue, WANG Yulong, GAO Yan, XUE Kaiwen, ZHANG Zeyu, YAN Jie, ZOU Yucong, DAN Guo. Researches on multi-level rehabilitation service system in China: a bibliometrics analysis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(6): 630-638. |
[2] | YANG Rong, WANG Qian, ZI Yang, CHEN Yiting, LI Yingcai, LENG Jun. Brain-computer interface technology used in rehabilitation medicine in the last decade: a visualized analysis [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 416-423. |
[3] | LIU Jingyu, YANG Yanyan, ZHANG Yuanmingfei, LIU Xiaoxie, ZHANG Na, ZHANG Zhiliang, ZHOU Mouwang. 2022 Country Report on Medical Rehabilitation Services, Quality and Safety in Health Care System [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 125-140. |
[4] | LIU Xiaoxie, CHU Hongling, LIU Mei, GUO Aixin, WANG Siyuan, ZENG Fanshuo, JIANG Shan, XIE Yuxiao, ZHOU Mouwang. Scientific, transparent and applicable rankings of Chinese guidelines and consensus of rehabilitation medicine published in medical journals in 2022 [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1365-1376. |
[5] | LIU Xinrong,XU Guangxu,LI Lin,WANG Yu,LI Xu,ZHAO Ruoxin,LIU Yuanbiao,GU Yuhui,YAO Jie,ZHANG Min,WANG Lijuan. Development of rehabilitation medical resources in Jiangsu during Thirteenth Five-year Plan [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 407-414. |
[6] | ZHANG Yuanmingfei,YANG Yanyan,ZHANG Na,LIU Jingyu,LIU Xiaoxie,ZHANG Zhiliang,ZHOU Mouwang. 2021 National Report on Rehabilitation Medicine Services, Quality and Safety in Medical Care System [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(12): 1365-1379. |
[7] | Shi-cai WU. Research on Ethical Connotation and Its Practice of Rehabilitation Medicine [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 125-130. |
[8] | Li-jun MENG,Shi-cai WU. Implementation of Ethical Principles to Promote Development of Rehabilitation Services [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(2): 237-242. |
[9] | SHI Xiu-e, WANG Bin-xiong, FANG Ya-qiong, ZHANG Yan, CHEN Zhao-quan, WANG Bo, WANG Man-xia, ZHANG Ting, HUANG Chao-rong, PEI Hong-bo. Comprehensive Evaluation of Rehabilitation Medical Service Quality in Tertiary General Hospitals in Gansu, China [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 117-124. |
[10] | WANG Cen-yi,LIANG Ji-ling,SI Yu-hao,CHEN Ning. Advance in Role of Mitochondrial Quality Control in Exercise for Sarcopenia (review) [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1066-1070. |
[11] | WANG Ling,LU Shu-ya,LUO Xu-fei,YU Xuan,LÜ Meng,ZHANG Xian-zhuo,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Clinical Practice Guidelines of Rehabilitation: Composition of Expert Group and Situation of Conflict of Interest [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 150-155. |
[12] | ZHOU Qi,WANG Ling,YANG Nan,YU Xuan,ZHANG Jing-yi,MA Yan-fang,WANG Jian-jian,ZHANG Xian-zhuo,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Quality of Evidence and Strength of Recommendations of Clinical Practice Guidelines of Rehabilitation Based on GRADE [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 156-160. |
[13] | WANG Zi-jun,WANG Ling,YU Xuan,ZHOU Qi,SHI Qian-ling,ZHAO Si-ya,XUN Yang-qin,ZHANG Xian-zhuo,YANG Nan,SHI Xiu-e,CHEN Yao-long,YANG Ke-hu. Report Quality of Clinical Practice Guidelines of Rehabilitation Based on RIGHT [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 161-169. |
[14] | JIANG Shan,WANG Ying,WANG Hui. Development of Occupational Therapy for Chinese Aging Population: Opportunities and Challenges [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(2): 237-241. |
[15] | LI Xin-ping, BAI Li-ming, ZHANG Ming-sheng, MA Hong-zhuo, CHEN Di, QIU Zhuo-ying, LI An-qiao. Needs and Framework of Information Platform for Quality Control of Rehabilitation Medicine Using Internet with ICF Framework [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(9): 1016-1019. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|