“医社协同”模式对社区脑卒中患者心理和运动功能的效果

doi:10.3969/j.issn.1006-9771.2026.05.010

Abstract

Abstract:

Objective To explore the effect of the medical-community linkage model on activities of daily living, psychological status and motor function of stroke patients in the community.
Methods A total of 60 stroke patients admitted to two community health service centers and their affiliated stations in Fengtai District, Beijing, from January, 2024 to August, 2025 were enrolled and randomly divided into control group (n=30) and intervention group (n=30). The control group received routine medicine, dietary care and rehabilitation management, while the intervention group underwent rehabilitation with the medical-community linkage model, for twelve weeks. They were assessed with modified Barthel Index (MBI), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and Fugl-Meyer Assessment (FMA) before and after intervention.
Results After intervention, the MBI, HAMA, HAMD and FMA scores of patients improved in both groups (|t|>5.599, P <0.001), and improved more in the intervention group than in the control group (P <0.05), except MBI. The HAMA and HAMD scores of family members decreased in both groups (|t|>10.333, P <0.001), and decreased more in the intervention group than in the control group (t>5.681, P <0.001).
Conclusion The medical-community linkage model can further improve the motor function of stroke patients in community, as well as the psychological status of both patients and their family members.

Key words: stroke, medical-community linkage model, community-based rehabilitation

CLC Number:

R743.3

GU Yuhong, DUAN Jinxiu, XUE Mingyang, YANG Jie, WU Xia, LIU Hua, GAO Yufang, ZHANG Menghui, YE Caide. Effect of medical-community linkage model on psychological status and motor function in community-dwelling patients with stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(5): 597-603.

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References 42

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组别	n	性别(男/女)/n	病程/月	年龄/岁	学历(高中及以上/高中以下)/ n	简易精神状态检查评分
对照组	30	22/8	7.43±12.26	71.40±9.65	14/16	29.17±1.35
干预组	30	22/8	8.43±8.36	68.67±10.52	12/18	29.13±1.80
χ²/t值		<0.001	-0.369	1.047	0.068	0.040
P值		1.000	0.713	0.299	0.794	0.969

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	30	前测后测	75.57±27.54 81.03±27.51	-5.599	<0.001
干预组	30	前测后测	76.83±17.36 90.00±14.36	-8.990	<0.001
干预前两组均值差			-1.27±22.74	-0.212	0.833
干预后两组均值差			-8.97±21.65	-1.577	0.120

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	27	前测后测	9.93±2.11 7.41±2.08	9.019	<0.001
干预组	26	前测后测	10.35±2.21 4.08±1.44	17.325	<0.001
干预前两组均值差			-0.42±3.05	-0.708	0.482
干预后两组均值差			3.33±2.53	6.752	<0.001

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	27	前测后测	9.22±1.22 5.93±1.49	12.655	<0.001
干预组	28	前测后测	9.82±1.63 3.50±1.67	16.564	<0.001
干预前两组均值差			-0.60±2.04	-1.537	0.130
干预后两组均值差			2.43±2.24	5.681	<0.001

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	26	前测后测	9.46±1.71 6.86±1.67	10.492	<0.001
干预组	27	前测后测	9.52±1.78 3.78±1.40	14.297	<0.001
干预前两组均值差			-0.05±2.47	-0.115	0.909
干预后两组均值差			3.08±2.18	7.402	<0.001

Effect of medical-community linkage model on psychological status and motor function in community-dwelling patients with stroke

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组别	n	测试	$\bar{x}±s$	t值	P值
对照组	25	前测后测	9.73±1.69 6.54±1.92	10.333	<0.001
干预组	26	前测后测	9.62±1.96 3.19±1.65	14.343	<0.001
干预前两组均值差			0.12±2.59	0.227	0.821
干预后两组均值差			3.50±2.53	6.734	<0.001

组别	n	测试	$\bar{x}±s$	ANCOVA调整	差值	P值
对照组	30	前测后测	79.13±23.87 85.73±18.30	79.62±1.60	6.60±6.38	<0.001
干预组	30	前测后测	62.30±30.03 78.83±24.13	84.94±1.60	16.53±14.72	<0.001
干预前两组均值差			16.83±37.30			0.021
干预后两组均值差			原始：6.90±31.75 校正：5.32±2.32			0.026

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