基于区域医疗联合体的脑卒中社区康复模式干预效果研究
发布时间：2019-07-19 20:13
【摘要】：目的探讨基于区域医疗联合体的脑卒中社区康复模式干预效果。方法建立以上海市第五人民医院康复医学科为核心,联合闵行区6家社区卫生服务中心的区域医疗联合体。选取2012年6月—2015年6月到该6家社区卫生服务中心就诊的脑卒中患者105例。根据就诊社区卫生服务中心是否有康复治疗师,将患者分为对照组(无康复治疗师,n=52)和干预组(有康复治疗师,n=53)。对照组患者仅进行常规药物治疗,允许自行康复训练;干预组患者在常规药物治疗的基础上,采用基于区域医疗联合体的脑卒中社区康复模式进行干预。分别于干预前及干预3、6个月后,采用Fugl-Meyer运动功能评定量表(FMA)、Barthel指数(BI)评价两组患者的干预效果。结果两组患者性别、平均年龄、平均病程、病变性质比较,差异无统计学意义(P0.05)。两组患者FMA、BI评分比较,差异有统计学意义(P0.05);不同时间点比较,差异有统计学意义(P0.05);干预方法和时间在FMA、BI评分上存在交互作用(P0.05)。干预前两组患者FMA、BI评分比较,差异无统计学意义(P0.05);干预3、6个月后干预组患者FMA、BI评分高于对照组,差异有统计学意义(P0.05)。结论基于区域医疗联合体的脑卒中社区康复模式可以有效提高脑卒中患者的运动功能和日常活动能力,有利于改善患者的生活质量,帮助其重返家庭和社会。
[Abstract]:Objective to explore the intervention effect of community rehabilitation model of stroke based on regional medical association. Methods A regional medical association with 6 community health service centers in Minhang District was established with rehabilitation medicine department of Shanghai Fifth people's Hospital as the core. 105 stroke patients who visited the 6 community health service centers from June 2012 to June 2015 were selected. According to whether there was a rehabilitation therapist in the community health service center, the patients were divided into control group (no rehabilitation therapist, n = 52) and intervention group (with rehabilitation therapist, n = 53). The patients in the control group were only treated with routine drug therapy and self-rehabilitation training was allowed, while the patients in the intervention group were intervened by community rehabilitation model of stroke based on regional medical union on the basis of routine drug treatment. Before intervention and 3 months and 6 months after intervention, Fugl-Meyer motor function rating scale (FMA), Barthel index (BI) was used to evaluate the intervention effect of the two groups. Results there was no significant difference in sex, average age, average course of disease and nature of pathological changes between the two groups (P 0.05). The difference of FMA,BI score between the two groups was statistically significant (P 0.05), and the difference was statistically significant at different time points (P 0.05). There was interaction between intervention methods and time in FMA,BI score (P 0.05). There was no significant difference in FMA,BI score between the two groups before intervention (P 0.05). After 6 months of intervention, the FMA,BI score of the intervention group was higher than that of the control group, the difference was statistically significant (P 0.05). Conclusion the community rehabilitation model of stroke based on regional medical union can effectively improve the motor function and daily activity ability of stroke patients, help to improve the quality of life of patients, and help them to return to family and society.
【作者单位】： 复旦大学附属上海市第五人民医院康复医学科;上海市闵行区江川社区卫生服务中心;上海市闵行区古美社区卫生服务中心;上海市闵行区吴泾社区卫生服务中心;上海市闵行区马桥社区卫生服务中心;上海市闵行区颛桥社区卫生服务中心;上海市闵行区梅陇社区卫生服务中心;
【基金】：上海市卫生和计划生育委员会科研课题项目(20114325)——区域康复医疗联合体运营模式初探
【分类号】：R743.3
，
本文编号：2516464
[Abstract]:Objective to explore the intervention effect of community rehabilitation model of stroke based on regional medical association. Methods A regional medical association with 6 community health service centers in Minhang District was established with rehabilitation medicine department of Shanghai Fifth people's Hospital as the core. 105 stroke patients who visited the 6 community health service centers from June 2012 to June 2015 were selected. According to whether there was a rehabilitation therapist in the community health service center, the patients were divided into control group (no rehabilitation therapist, n = 52) and intervention group (with rehabilitation therapist, n = 53). The patients in the control group were only treated with routine drug therapy and self-rehabilitation training was allowed, while the patients in the intervention group were intervened by community rehabilitation model of stroke based on regional medical union on the basis of routine drug treatment. Before intervention and 3 months and 6 months after intervention, Fugl-Meyer motor function rating scale (FMA), Barthel index (BI) was used to evaluate the intervention effect of the two groups. Results there was no significant difference in sex, average age, average course of disease and nature of pathological changes between the two groups (P 0.05). The difference of FMA,BI score between the two groups was statistically significant (P 0.05), and the difference was statistically significant at different time points (P 0.05). There was interaction between intervention methods and time in FMA,BI score (P 0.05). There was no significant difference in FMA,BI score between the two groups before intervention (P 0.05). After 6 months of intervention, the FMA,BI score of the intervention group was higher than that of the control group, the difference was statistically significant (P 0.05). Conclusion the community rehabilitation model of stroke based on regional medical union can effectively improve the motor function and daily activity ability of stroke patients, help to improve the quality of life of patients, and help them to return to family and society.
【作者单位】： 复旦大学附属上海市第五人民医院康复医学科;上海市闵行区江川社区卫生服务中心;上海市闵行区古美社区卫生服务中心;上海市闵行区吴泾社区卫生服务中心;上海市闵行区马桥社区卫生服务中心;上海市闵行区颛桥社区卫生服务中心;上海市闵行区梅陇社区卫生服务中心;
【基金】：上海市卫生和计划生育委员会科研课题项目(20114325)——区域康复医疗联合体运营模式初探
【分类号】：R743.3
，
本文编号：2516464
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