脑卒中恢复期患者社区上门康复服务的康复效果观察  

Effectiveness of home service in rehabilitation of post-stroke patients on recovering period

作　　者：徐卫平[1] 仇玉兰[2] 刘玉昌[1] 金海华[1] 吉美蓉 

机构地区：[1]上海市闵行区龙柏社区卫生服务中心,201105 [2]上海交通大学公共卫生学院流行病与生物统计系,200025

出　　处：《中华全科医师杂志》2017年第3期224-226,共3页Chinese Journal of General Practitioners

基　　金：上海交通大学闵行公共卫生管理研究中心科研课题（2014-JM-03）

摘　　要：2014年1月至2015年12月对158例社区脑卒中恢复期患者随机分为两组，分析予常规（对照组，80例）及上门康复服务进行康复干预（观察组，78例），于干预前、干预6个月后采用自测健康评定量表（SRHMS）对上门康复服务的社会经济效益及满意度进行测评。干预6个月后观察组SRHMS评分优于对照组；就诊和护理时间减少，费用下降；患者总体满意度为97％。家庭医生上门康复服务对脑卒中恢复期患者有较好的康复效果和社会经济效益。One hundred and fifty eight post-stroke patients in the recovering period were divided into intervention group （78 cases） and control group （80 cases）. Patients in intervention group received home rehabilitation service provided by general practitioners （GP） for 6 months, while patients in control group received routine rehabilitation. After 6-months, the scores of self-rated health measurement scale （SRHMS） in intervention group were significantly higher than those of control group （P 〈 0.01 ） ; the visiting time and frequency, medical costs and time of caregiving were decreased （ P 〈 0.01 ） ; and the satisfaction score of the patients in intervention group was 97%. The results show that home rehabilitation service can improve effectiveness of rehabilitation for post-stroke patient in recovering period.

关 键 词：医师 家庭 康复 家庭医疗保健服务 卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]