《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 381-383.

• 临床观察 • 上一篇    下一篇

不同随访方式对脑卒中康复患者遵医行为的影响

左惠榕1，杜雅玲1，王彤2   

  1. 1.海宁康华医院康复医学科，浙江海宁市314400；2.南京医科大学第一附属医院康复医学中心，江苏南京市210029
  • 收稿日期:2012-11-12 修回日期:2012-12-24 出版日期:2013-04-25 发布日期:2013-04-25

Influence of Different Follow-up Ways on Compliance Behavior of Stroke Patients during Rehabilitation

ZUO Hui-rong, DU Ya-ling, WANG Tong   

  1. Department of Rehabilitation, Haining Kanghua Hospital, Haining 314400, Zhejiang, China
  • Received:2012-11-12 Revised:2012-12-24 Published:2013-04-25 Online:2013-04-25

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被引次数

9

摘要： 目的通过比较定期电话随访和上门随访对脑卒中康复治疗患者出院后遵医依从性和日常生活活动能力(ADL)的影响，探讨适合脑卒中患者康复出院后的随访方式。方法从本院康复医学科2010 年8 月1 日~2012 年7 月1 日出院的355 例脑卒中康复治疗患者中，抽取50 例参与电话随访，50 例参与上门随访。分别于出院后2 周、1 个月、3 个月对两组患者进行随访。于出院时和出院3 个月后采用Bathel 指数(BI)评价ADL，出院3 个月后进行遵医依从性评定。结果出院时两组BI 评分无显著性差异(P>0.05)；出院3 个月后，两组BI 评分均较出院时改善(P<0.05)；上门随访组BI 评分高于电话随访组(P<0.05)。上门随访组总遵医率(94%)明显高于电话随访组(64%)(P<0.01)。结论定期上门随访在提高脑卒中患者社区遵医行为方面更为有效。

关键词: 脑卒中, 随访, 遵医行为

Abstract: Objective To observe the influence of telephone follow-up and home follow-up on compliance behavior and activities of daily living (ADL) of stroke patients during rehabilitation. Methods 50 cases were as telephone follow-up group and 50 cases were as home follow-up group extracted from 355 stroke patients who discharged the hospital during August 1, 2010 to July 1, 2012. They were followed up 2 weeks, 1 month and 3 months after discharge respectively. Their ADL were assessed with Bathel index (BI) at discharge and 3 months after discharge, and the compliance behavior were assessed 3 months after discharge. Results There was no significant difference in the score of BI between 2 groups at discharge (P>0.05), and the score of BI improved in both groups 3 months after discharge (P<0.05), but it was higher in the home follow-up group than in the telephone follow-up group (P<0.05), as well as the rate of compliance behavior (P<0.01). Conclusion Regular home follow-up can improve the compliance behavior of stroke patients during rehabilitation.

Key words: stroke, follow-up, compliance behavior