浙江省安吉县农村3个自然村的社区康复现状  

Community-based rehabilitation of three villages in Anji county of Zhejiang province

作　　者：王莎[1] 华夏[1] 潘妮娜[1] 徐水凌[1] 

机构地区：[1]嘉兴学院医学院,浙江省嘉兴市314001

出　　处：《中国临床康复》2006年第48期4-6,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:采用问卷调查方式,对浙江省安吉县农村社区康复进行调查,以了解该地区社区康复的现状。方法:调查于2005-07/08进行。采用随机抽样方法,抽取浙江省安吉县3个自然村中37户有残疾者的家庭,进行入户问卷调查。问卷是按照1988年制订的《中国残疾人抽样调查残疾标准》的要求,结合当地农村卫生事业的现状设计的,主要调查的项目有:致残原因、残疾类型、自身所承担的康复治疗费用、所能享受的社区康复服务资源和患者的康复服务的需要等内容。同时以当地卫生局、民政机构和卫生院等为对象,调查当地卫生资源状况。结果:①调查结果显示,当地农村社区的残疾以肢体残疾为主(占67.6%),主要是意外事故所致(占51.4%);所承担的康复治疗费用以自费为主(占70.3%);18.9%的残疾者在县级以上医院进行过康复训练和治疗,有73.0%残疾者愿意选择在农村社区进行康复训练和治疗;59.5%的残疾者家庭感觉康复服务费用太高,有35.1%的家庭可以承受。②当地有医务卫生工作人员1270名,其中专业康复医生6名,经过一定康复知识培训的38名,当地具备初步从事康复条件的乡卫生院(所)及医院8座(21.1%),配备完整的社区康复医疗设施和人员的乡卫生院(所)为零。结论:安吉县农村社区康复的服务与患者的需要还存在一定的差距,服务水平低与费用高是目前当地农村社区康复的主要矛盾。AIM： To investigate the community-based rehabilitation （CBR） of Anji county by questionnaires, so as to acknowledge the recent situation of the CBR. METHODS： The experiment was conducted from July to August 2005. Random sampling method was adopted to select 37 disabled families from 3 natural villages of Anji County in Zhejiang Province to interview by questionnaire. The questionnaire was designed according to the China National Sampling Survey of Disability of 1998 by .integrated with the status of rural health, the main items of this investigation included causes and types of the disability, the finance of rehabilitation by themselves, the rehabilitation resources enjoyed by them, the needs of patients on rehabilitation service and so on. Meanwhile, local health bureau, organization of civil affairs and rural health were taken as the subjects to investigate local health resources. RESULTS： ①The investigation showed that disabled people in the locality were mainly extremity disability （67.6%）, which were caused by accidents （51.4%）. The fees of rehabilitation treatment were mainly expending by themselves （70.3%）. 18.9% of disabled people were treated in hospital higher than county grade. 73.0% of disabled people were willing to be treated in rural community, and 59.5% of families with disabled people thought the fees of rehabilitation treatment was too high, while 35.1% of families could afford the fee.②There were 1 270 medical workers in the locality, including 6 special rehabilitation doctors, 38 workers trained for certain rehabilitation knowledge. There were 8 local hospitals and public health centers with the primary conditions for rehabilitation treatment （21.1%）, whereas there was no rustic public health center with complete medical equipments and medical workers. CONCLUSION： There is a definite gap between rehabilitation service in Anji rural district and needed commuriity-based rehabilitation service. The principal contradiction in CBR exists between low service and high

关 键 词：社区卫生服务 康复 医院 乡村 残疾人 数据收集 

分 类 号：R473.2[医药卫生—护理学]