三城市社区卒中患者康复治疗现状调查

【摘要】
目的 了解我国城市社区卒中患者康复知识知晓和接受康复治疗状况,为制订适宜的康复知识教育
和康复治疗计划提供依据。
方法 在北京、上海和成都3个城市社区,以问卷调查形式对964例卒中患者康复知识知晓、接受康
复治疗情况以及康复需求的现况进行调查。
结果 在被调查的964例卒中患者中,325例（33.7%）社区卒中患者表示接受过康复知识教育,仅
有100例（10.4%）表示对康复治疗比较了解和很了解。714例（74.1%）患病后进行了住院治疗,294例
（30.4%）住院期间接受过康复治疗,其中198例（20.5%）只接受过针灸治疗和按摩、推拿治疗,178例
（18.5%）接受过运动疗法治疗。出院后,仅有250例患者继续接受康复治疗。不接受康复治疗的原因中,
“从来就不知道康复治疗”是最主要的原因,占65.2%。74.3%的患者表示如果社区医院能够提供康复
治疗服务,愿意在社区接受康复治疗。现实中却只有8.3%的患者出院后在社区接受继续康复治疗。
结论 我国城市社区卒中患者出院后康复治疗的状况总体较差。在社区人群中建立康复宣传措施以
及康复治疗计划非常必要。

Current Situation of Rehabilitation for Stroke Survivors Living in Community in Three

【Abstract】
Objective To identify the current situation of rehabilitation awareness, demand for rehabilitation
therapy of stroke patients in the communities of Chinese cities, in order to provide reference for
rehabilitation education and suitable rehabilitation programs.
Methods This community-based survey involving 964 stroke patients from three metropolises
assesses rehabilitation awareness, the status of rehabilitation therapy and demands for rehabilitation
therapy for stroke patients.
Results Of the 964 patients, 33.7%(325) reported that they had received information on stroke
rehabilitation and only 10.4%(100) patients were well informed of the topic. Seven hundred and
fourteen(74.1%) had been hospitalized and 30.4%(294/964) received acute rehabilitation therapy
during hospitalization. Of them, 198(20.5%) patients only received acupuncture and massage
or manipulation; 178(18.5%) received physical therapy. After discharge, 35%(250/714) received
continuous rehabilitation services. Among the reasons of not receiving rehabilitation services,
"Don't know rehabilitation therapy" was placed on the first rank of all reasons. Most stroke
patients(74.3%) preferred to receiving rehabilitation services in the centers of community health
service. In fact, only 80(8.3%) received community-based rehabilitation(CBR) after discharge.
Conclusion The status of rehabilitation therapy is worse than expected. The lack of awareness
is an important barrier to early rehabilitation therapy. The importance of establishing an effective
education and rehabilitation program to improve status of rehabilitation for stroke survivors should
be emphasized.