农村脑卒中患者住所环境障碍及其与活动与参与关系研究

发布时间：2018-05-29 04:32

本文选题：脑卒中 + 住所环境障碍　；参考：《中国康复医学杂志》2017年10期

【摘要】：目的:了解农村脑卒中患者住所环境障碍状况及其活动与参与损伤程度,并探讨影响患者活动与参与的住所障碍因素。方法:横断面调查,入户调查广东省农村地区的脑卒中患者。采用世界卫生组织残疾评定方案2.0测评患者活动与参与,采用住所环境致跌危险因素评估表测评住所环境障碍。采用描述性统计与等级logistic回归分析资料。结果:共调查脑卒中后3个月以上患者818例。患者住所环境改造率为6%。30项住所环境障碍中,18项的发生率超过20%,发生率最高的障碍为卫生间无扶手(93%)。46%的患者活动与参与损伤程度在严重及以上。3项住所障碍成为影响活动与参与的独立因素,分别是大门难以开启(OR:2.39,95%CI:1.39—4.12,P=0.002)、地面易滑倒(OR:1.87,95%CI:1.13—3.09,P=0.014)、电灯开关难以触及(OR:1.49,95%CI:1.07—2.08,P=0.018)。结论:农村脑卒中患者住所内普遍存在环境障碍,直接限制了患者的活动与参与。去除或缓解住所障碍因素有助于提高患者的活动与参与水平。
[Abstract]:Objective: to investigate the status of residence environmental disturbance and the degree of activity and participation injury in rural stroke patients, and to explore the factors that affect the activity and participation of patients with cerebral apoplexy. Methods: a cross-sectional survey was conducted to investigate stroke patients in rural areas of Guangdong province. Who Disability Assessment Program 2.0 was used to assess patients' activities and participation, and shelter environmental barriers were evaluated by the risk factors assessment form of shelter environment. Descriptive statistics and hierarchical logistic regression analysis were used. Results: 818 patients more than 3 months after stroke were investigated. The incidence of 18 out of 60.30 items of shelter environmental barriers was more than 20. The highest rate was 933.46% of the patients who had no handrails in the bathroom, and the degree of injury was severe and above. 3 items of shelter disorders became serious. Independent factors affecting activities and participation, It is difficult to open the door of OR 2.39 / 95, and the head of CIW 1.39-4.12 is about 0.002, and the ground is easy to slip to 1.87% 1.13-3.09% P0.014. It is difficult for the light switch to touch the OR1.49% 95 CIW 1.07-2.08P0.01818. Conclusion: environmental disturbance exists in the residence of stroke patients in rural areas, which directly restricts their activities and participation. Removing or alleviating barriers to shelter helps to improve patients' activity and participation.
【作者单位】：中山大学护理学院;中山大学孙逸仙纪念医院康复医学科;华佗再造博爱基金会;
【基金】：广东省红十字会奇星博爱中风康复基金(20131217) 广东省科技计划项目(2013B09100009)
【分类号】：R743.3

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