急性脑卒中患者出院后去向及转诊的影响因素

发布时间：2019-02-21 19:02

【摘要】：目的研究脑卒中患者在综合医院完成急性期治疗后,后续康复机构选择及相关影响因素。方法回顾2015年1月至12月急性期脑卒中患者230例,探讨年龄、首次出院时改良Rankin量表(m RS)评分、转诊机构选择等因素对转诊选择的影响。结果共125例有转诊需求。m RS恶化,转诊需求增高(P0.05)。在转诊患者中,m RS 0~1分及2~3分患者对延续康复的需求高(F=4.300,P0.05);m RS 4~5分组对医疗质量(F=3.464,P0.05)和对住院时长要求高(F=3.692,P0.05)。≥80岁组对医疗质量要求更高(F=4.630,P0.05)。在本院继续治疗者更关注延续康复治疗(F=7.590,P0.001),选择康复专科机构者更关注康复质量(F=32.156,P0.001),选择社区和养老机构者则更多考虑住院时长(F=18.823,P0.001)和方便照料(F=14.070,P0.001)等。转诊医疗机构的信息来源于医生占72.0%,来源于患者占28.0%。结论脑卒中急性期患者的功能障碍程度、年龄、对最终预后的预期影响对转诊的选择。医方掌握更多的康复医疗资源,在转诊过程中可给患方提供更为合理的建议。
[Abstract]:Objective to study the choice of follow-up rehabilitation institutions and related influencing factors after acute stage treatment in general hospital for patients with cerebral apoplexy. Methods A total of 230 patients with acute stroke from January to December 2015 were reviewed. The influence of age, (m RS) score of modified Rankin scale on the first discharge and the selection of referral institution were investigated. Results there were 125 cases with. M RS aggravation and higher referral demand (P 0.05). The patients with, m RS 0 ~ 1 and 2 ~ 3 points had a high demand for continuous rehabilitation (F4. 300 P 0.05). M RS 4 / 5 group had a higher requirement for medical quality (FN 3.464) and longer hospitalization time (FN 3.692 P 0.05), and the group of 鈮，

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