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目的 :探讨对脑卒中后遗症患者实施“四站式”康复服务的效果。方法 :对2011年1月至2012年3月出院的缺血型脑卒中患者进行分层抽样,将宝山街道社区50例设为研究组,共和新路街道社区50例设为对照组。对照组不作特殊干预,只完成门诊常规治疗;研究组采用“四站式”康复服务,并分为群体干预和个体干预两部分。两组患者均在研究开始时和12个月结束时,采用Fugl-Meyer(FMA)量表评估患者康复功能,用改良巴氏指数(MBI)量表评估患者日常生活能力。同时对两组患者康复知识知晓度、康复项目利用率和康复服务满意度进行比较。结果:研究组干预后,在康复服务量、FMA评分、MBI评分、患者康复认知度和满意度等项目上均较对照组有明显提高。结论 :“四站式”康复服务方案的应用,实现了病房、门诊、站点及家庭的社区全程管理,为更好地开展社区康复服务提供新的途径。
Objective: To investigate the effect of “four stations” rehabilitation service on patients with stroke sequelae. Methods: The stratified sampling of ischemic stroke patients discharged from January 2011 to March 2012 was conducted. 50 cases of community in Baoshan Street were set as research group and 50 cases of community in Gonghexinlu Road as control group. The control group did not make any special intervention, only completed routine outpatient treatment. The study group used “four stations” rehabilitation services and divided into two groups: group intervention and individual intervention. At the start of the study and at the end of 12 months, both groups evaluated the rehabilitation function of the patients using the Fugl-Meyer (FMA) scale, and assessed the daily living ability of the patients with the Modified Pakistan Index (MBI) scale. At the same time, the two groups of patients awareness of rehabilitation knowledge, rehabilitation project utilization and satisfaction with rehabilitation services were compared. Results: After the study group intervention, the items such as rehabilitation service, FMA score, MBI score, patient rehabilitation awareness and satisfaction were significantly higher than the control group. Conclusion: The application of the “four stations” rehabilitation service program realizes the community-wide management of wards, clinics, sites and families, and provides a new way for better carrying out community-based rehabilitation services.