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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。
Objective To understand the status of rehabilitation knowledge and rehabilitation of stroke patients in urban community in our country and provide basis for formulating proper education and rehabilitation plan of rehabilitation knowledge. Methods Three community communities in Beijing, Shanghai and Chengdu were surveyed by questionnaire survey about the 964 knowledge of rehabilitation knowledge of stroke patients, the condition of rehabilitation treatment and the demand of rehabilitation. Results Among the 964 stroke patients surveyed, 325 (33.7%) of community-based stroke patients had received knowledge of rehabilitation education and only 100 (10.4%) said they knew and understood rehabilitation therapy well. Among them, 714 (74.1%) were hospitalized after their illness, 294 (30.4%) were hospitalized during the hospitalization, of which 198 (20.5%) received only acupuncture and massage and massage, 178 (18.5% Has been treated with exercise therapy. After discharge, only 250 patients continued to receive rehabilitation. Reasons for not receiving rehabilitation treatment, “never knew rehabilitation treatment” is the most important reason, accounting for 65.2%. 74.3% of patients said they would be willing to receive rehabilitation in the community if they can provide rehabilitation services. In reality, only 8.3% of patients were discharged from the community for further rehabilitation. Conclusion The condition of rehabilitation treatment after hospital discharge in urban community in China is generally poor. Establishing rehabilitation advocacy and rehabilitation programs in the community is essential.