新疆维吾尔自治区南部地区脑卒中康复适宜技术推广分析  

Analysis of Appropriate Technology Promotion for Stroke Rehabilitation in Southern Xinjiang

作　　者：杜玉英[1] 王彩玲 崔森林 雷蕾 王艳萍 宋学琴 韩淑琴 张艳梅 王宝兰[1] 黄海霞[1] 陈祢[1] 严会荣[1] 李冬[1] 张晶晶[1] 任钰[1] DU Yuying;WANG Cailing;CUI Senlin;LEI lei;WANG Yanping;SONG Xueqin;HAN Shuqin;ZHANG Yanmei;WANG Baolan;HUANG Haixia;CHEN Mi;YAN Huirong;LI Dong;ZHANG Jingjing;REN Yu(Department of Rehabilitation Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China;Department of Rehabilitation Medicine,Shache County People's Hospital,Kashgar Region 844700,China;Department of Rehabilitation Medicine,Shule County People's Hospital,Kashgar Region 844200,China;Department of Rehabilitation Medicine,People's Hospital of Kizilsu Kirgiz Autonomous Prefecture,Atushi City 845350,China;Department of Rehabilitation Medicine,Yecheng County People's Hospital,Kashgar Region 844999,China;Department of Rehabilitation Medicine,People's Hospital of Yingjisha County,Kashgar Region 844599,China;Department of Rehabilitation Medicine,Yuepuhu County People's Hospital,Kashgar Region 844400,China;Department of Rehabilitation Medicine,the People's Hospital of Maigati County,Kashgar Region 844207,China)

机构地区：[1]新疆医科大学第一附属医院康复医学科,新疆维吾尔自治区乌鲁木齐市830011 [2]新疆维吾尔自治区喀什地区莎车县人民医院康复医学科,844700 [3]新疆维吾尔自治区喀什地区疏勒县人民医院康复医学科,844200 [4]新疆维吾尔自治区克孜勒苏柯尔克孜自治州人民医院康复医学科,845350 [5]新疆维吾尔自治区喀什地区叶城县人民医院康复医学科,844999 [6]新疆维吾尔自治区喀什地区英吉沙县人民医院康复医学科,844999 [7]新疆维吾尔自治区喀什地区岳普湖县人民医院康复医学科,844400 [8]新疆维吾尔自治区喀什地区麦盖提县人民医院康复医学科,844207

出　　处：《中国全科医学》2023年第25期3178-3184,共7页Chinese General Practice

基　　金：国家重点研发计划项目(2018YFC2002302);新疆维吾尔自治区自然科学基金联合基金项目(2016D01C327);新疆维吾尔自治区卫生健康扶贫工作优秀适宜技术推广项目(SYTG-Y201928)。

摘　　要：背景面向农村和城市社区推广卫生适宜技术,是提高基层医疗卫生机构技术水平和服务能力的重要措施,新疆医科大学第一附属医院在新疆维吾尔自治区南部(简称南疆)地区开展了卫生适宜技术推广工作。目的评价在南疆地区推广脑卒中康复适宜技术的效果,了解南疆地区康复工作人员对脑卒中康复适宜技术推广方式的需求情况及希望通过参加脑卒中康复适宜技术推广项目达成的目标,为卫生健康行政部门深入推进康复适宜技术推广工作提供依据。方法于2018年7月,采用多阶段抽样法,以南疆地区8个深度贫困县为样本来源地,选取来自样本来源地8家人民医院康复医学科、各县所辖乡镇卫生院和社区卫生服务中心的康复工作人员,以及残联、民政系统和其他康复机构的康复工作人员为研究对象,向其推广脑卒中康复适宜技术后,采用自设问卷对其进行调查。比较参加脑卒中康复适宜技术推广项目前(2018-01-01至2018-06-30)和参与后(2020-07-01至2020-12-31)人民医院康复医学科月均门诊量、住院量及治疗收入。结果于2018-07-15至2020-06-30开展脑卒中急性期、亚急性期、恢复期康复适宜技术,以及脑卒中社区和家庭康复适宜技术推广工作,推广的适宜技术涉及的内容包括运动功能康复训练、功能性电刺激、强制性运动疗法(CIMT)、镜像疗法、脑卒中患者吞咽障碍管理及康复训练、脑卒中患者日常生活活动能力训练及康复护理等。共回收有效问卷384份。384名康复工作人员中,63.3%(243/384)认为适宜技术在区(县)内推广、应用很有意义;46.1%(177/384)认为项目在当地非常适用;37.5%(144/384)认为所在医疗机构稍加完善相关条件即可开展此项技术;46.9%(180/384)认为此适宜技术推广项目在技能操作上的难易程度为容易;通过培训,42.2%(162/384)表示对此项技术有所了解,还需再学习和接受培训。参Background Promoting appropriate health technology to rural and urban communities is an important measure to improve the technical level and service capacity of primary care institutions.The First Affiliated Hospital of Xinjiang Medical University carried out the promotion of appropriate health technology in southern Xinjiang.Objective To evaluate the effect of appropriate technology promotion for stroke rehabilitation in southern Xinjiang,understand the needs of rehabilitation workers in southern Xinjiang for appropriate technology promotion for stroke rehabilitation and the goals they hope to achieve by participating in appropriate technology promotion for stroke rehabilitation projects,providing a basis for health administrative departments to implement appropriate rehabilitation technology promotion work.Methods The rehabilitation workers from the rehabilitation medicine departments of 8 people's hospitals,affiliated township health centers and communities health centers,federation of the disabled,civil affairs system and other rehabilitation institutions in 8 deep poverty-stricken counties which were considered as sample source sites by using a multi-stage sampling method in July 2018.The appropriate technology promotion for stroke rehabilitation was performed followed by a investigation by using self-designed questionnaire.The monthly outpatient volume,hospitalization volume and treatment income of the rehabilitation medicine department of people's hospitals before(January 1,2018 to June 30,2018)and after participation(July 1,2020 to December 31,2020)in technology promotion for stroke rehabilitation projects were compared.Results The appropriate technology promotion for stroke rehabilitation in acute,subacute and convalescent stages,as well as community and family rehabilitation of stroke was performed from January 1,2018 to June 30,2018,involving motor function rehabilitation training,functional electrical stimulation,mandatory exercise therapy techniques,constraint induced movement therapy(CIMT),mirror th

关 键 词：卒中 康复医学 卫生适宜技术 推广 新疆维吾尔自治区 

分 类 号：R743[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]