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脑卒中早期康复社区干预模式探讨
引用本文:张艳,倪一宏,王烨菁.脑卒中早期康复社区干预模式探讨[J].上海预防医学,2014(8):422-425.
作者姓名:张艳  倪一宏  王烨菁
作者单位:上海市黄浦区疾病预防控制中心;
基金项目:上海市黄浦区卫生局资助项目(HGG-29)
摘    要:目的]探索脑卒中早期康复社区干预模式。方法]对符合纳入标准的32名脑卒中患者,由社区康复医师和康复督导员上门对患者进行康复干预,采用Barthel指数和Berg平衡量表进行早期康复社区干预效果评估。结果]随着干预的进行,患者的Barthel指数和Berg评分呈逐渐上升趋势,并且不同时间之间Barthel指数和Berg评分差异均有统计学意义(P0.001)。结论]脑卒中早期康复社区干预研究建立了患者从三级医疗机构到社区管理的模式,对脑卒中患者恢复平衡能力和日常生活能力具有重要意义。

关 键 词:脑卒中  社区  早期康复

Early intervention mode for stroke rehabilitation in community
Institution:ZHANG Yan, NI Yi-hong, WANG Ye- ring ( Shanghai Huangpu District Center for Disease Control and Prevention, Shanghai 200023, China )
Abstract: Objective] To explore the early intervention mode for the community-based stroke re- habilitation. Methods] Thirty-two stroke patients who met the inclusion criteria were included in the study and intervened by doctor through home visit. The early rehabilitation intervention in community was assessed with Barthel Index (BI) and Berg Balanced Scale (BBS). Results] BI and BBS scores showed a gradual upward trend in patients as intervention went on and their differences between different in- tervention times were statistically significant ( P 〈 0.001 ). Conclusion ] Early community-based rehabilitation intervention established the management mode for patients transferring from level III hospital to community , whieh played an important role in the recovery of balance function and activity of daily living for stroke patients.
Keywords:Stroke  Community  Early rehabilitation
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