《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1021-1023.

• 论文 • 上一篇    下一篇

社区康复卒中单元对脑卒中患者功能状态的影响

葛晴霞，章慧霞，郭根平   

  1. 杭州市江干区凯旋街道社区卫生服务中心，浙江杭州市310020。
  • 收稿日期:2012-06-07 修回日期:1900-01-01 出版日期:2012-11-25 发布日期:2012-11-25

Effect of Community-based Rehabilitation Stroke Unit on Functional Recovery of Stroke Patients

GE Qing-xia, ZHANG Hui-xia,GUO Gen-ping   

  1. Kaixuan Community Health Service Center of Jianggan District, Hangzhou 310020, Zhejiang, China
  • Received:2012-06-07 Revised:1900-01-01 Published:2012-11-25 Online:2012-11-25

PDF (PC)

摘要： 目的探讨社区康复卒中单元对脑卒中患者功能状态的影响。方法94 例脑卒中患者分为干预组(n=47)和对照组(n=47)。对照组采用普通社区家庭护理，干预组采用社区康复卒中单元。干预前后采用改良Barthel 指数(MBI)、简式Fugl-Meyer 评定法(FMA)和社会功能缺陷筛选量表(SDSS)进行评定。结果入选时两组的MBI、FMA及SDSS 评分无显著性差异(P>0.05)，治疗3个月后两组均较治疗前明显改善(P<0.01)，治疗组较对照组改善更多(P<0.05)。结论社区康复卒中单元的建立能更有效地改善脑卒中患者的功能状态。

关键词: 脑卒中, 社区康复, 卒中单元, 运动, 日常生活活动能力, 社会功能

Abstract: Objective To observe the effect of community-based rehabilitation stroke unit on the function of stroke patients. Methods 94 patients with stroke were divided into intervention group (n=47) and control group (n=47). The control group accepted routine community home care, while the intervention group accepted community-based rehabilitation stroke unit care. They were assessed with modified Barthel index (MBI), simple Fugl-Meyer assessment (FMA) and Social Disability Screening Schedule (SDSS) before and after intervention. Results There was not significant difference between the groups in scores of MBI, FMA and SDSS (P>0.05) before intervention. All the scores improved significantly in both groups (P<0.01) 3 months after intervention, and improved more in the intervention group than in the control group (P<0.05). Conclusion Community-based rehabilitation stroke unit can improve the functional recovery of stroke patients.

Key words: stroke, community-based rehabilitation, stroke unit, motor, activities of daily living, sociality