社区脑卒中患者日常生活能力调查及影响因素分析  

Survey of the daily life ability of the stroke patient in the community and analysis of their influence factor

作　　者：吴玉苗 王瑞芳 WU Yumiao and WANG Rui fang. Cahngzheng Town Community Health Center,Putuo District,Shanghai 200333

机构地区：[1]上海市普陀区长征镇社区卫生服务中心,200333

出　　处：《社区卫生保健》2010年第6期414-416,共3页Journal of Community Healthcare

基　　金：基金项目：上海市市级医院慢性病综合防治项目（SHDC12007317）

摘　　要：目的调查社区脑卒中患者的基本情况与日常生活能力，分析其影响因素，从而提出改善建议。方法采用现况调查的研究方法了解上海市5个社区脑卒中患者的基本情况和日常生活能力并进行统计学分析。结果586名接受调查的社区脑卒中患者中日常生活能力完全自理者占50．0%轻度缺陷者占13．5％，中度缺陷者占11．1％，严重缺陷者占12．1％，极严重缺陷者占13．3％。社区脑卒中患者的日常生活能力与性别、年龄、文化程度、职业、经济状况、生活照料、吸烟习惯、饮酒习惯和体育锻炼有相关性。结论全科医生在脑卒中患者的社区综合干预中要考虑患者ADL与一般情况之间的关系，注重发挥家庭与运动锻炼在脑卒中患者康复中的重要作用。Objective To survey the basic situation of the stroke patients in the community and their daily life ability and analyze their influence so as to put forward the improving suggestion. Method The stroke patients and their daily life ability in five communities were surveyed and analyzed statistically based on the on field investigation. Results Among 586 stroke patients surveyed, 50% of them have the ability to care themselves. 13.5% had lost slight self care ability. 11.1%were medium, 12.1% were heavy and 13.3 were serious. The stroke daily life ability had relationship with their sex, age, education level, profession, economic condition, life care, smoking, drinking, and physical exercises. Conclusion The GP should consider the stroke patients＇ADL and common condition when to decide their general intervention, and pay attention to the importance of their family and physical exercises.

关 键 词：脑卒中 日常生活活动能力 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]