二级综合医院脑卒中患者早期康复治疗现状及影响因素分析

目的：了解脑卒中患者接受早期康复治疗的现状，并分析探索人口社会学、经济、医疗保障、认知因素对患者接受早期康复服务治疗的影响。方法：自行设计调查问卷，选取国内2家提供康复治疗服务的综合医疗机构，对正在接受康复治疗服务的229例脑卒中患者进行问卷调查。结果：89．1％正在接受康复治疗的脑卒中患者在急性期住院时接受过早期康复治疗；不同居住地、医疗保险类型、费用支付方式、收入来源的患者，以及对制定康复治疗方案的方式有不同认识的患者，在脑卒中发作急性住院期是否接受早期康复治疗有明显差异。结论：综合医疗服务机构给予脑卒中患者早期康复治疗的模式有待改善；经济收入、医疗保障和认知态度因素是影响脑卒中患者接受早期康复治疗的重要因素。

An overview study and analysis of influencing factors on early stage rehabilitation for stroke patients in second-grade hospitals

Objective：To understand the current situation of early stage rehabilitation to stroke patients and to ex- plore how the sociology, economy, health insurance, and cognitive factors of the stroke patients influence the utility of early rehabilitation services. Methods ： Two general hospitals which could provide rehabilitation services were selected to conduct a self-designed questionnaire survey of 229 stroke patients. Results：89.1 % of stroke patients received the early stage rehabilitation in the acute phase of hospitalization;Different places of residence,insurance types, ways of payments for medical therapy and rehabilitation, source of income,as well as the different understandings towards the ways of determination for rehabilitation therapy were the influencing factors for the stroke patients whether or not receiving the early rehabilitation. Conclusion：The mode of early rehabilitation provided for the stroke patients needs to be improved;economy/health insurance and cognitive factors were the most important factors for the early reha- bilitation utilization of stroke patients.