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目的:通过家庭病床服务实现的社区卒中单元康复管理模式改善脑梗死患者的生存质量。方法:120例患者分为门诊治疗组和家庭病床组,每组各60例。均予规范Ⅱ级预防、康复锻炼及相关疾病宣教、针灸治疗;家庭病床组由全科医师、全科护士上门对患者及家属进行康复锻炼及生活能力训练指导,监督服药及血压监测,管理膳食。比较入组后30、90 d两组患者运动及生活自理能力;1年后两组复发率,血压、血脂、血糖控制达标率,并发症发生率。结果:治疗90 d家庭病床组较门诊治疗组运动功能及生活自理能力有明显改善(P<0.05);1年后家庭病床组较门诊治疗组复发率、血压控制不达标率、并发症发生率明显减少(P<0.05)。结论:以家庭病床服务为中心的社区卒中单元康复管理是脑梗死患者康复的有效模式。
Purpose: To improve the quality of life of patients with cerebral infarction by community stroke unit rehabilitation management through family bed services. Methods: 120 patients were divided into outpatient treatment group and family bed group, 60 cases in each group. Are to regulate the level Ⅱ prevention, rehabilitation exercise and related diseases, education, acupuncture treatment; family beds by the general practitioners, nurses on-site rehabilitation of patients and their families and living ability training guidance, monitoring medication and blood pressure monitoring, diet management . After 30 and 90 days, the motor and life self-care ability of the two groups were compared. The relapse rate, blood pressure, blood lipid, blood sugar control compliance rate and complication rate of the two groups after 1 year were compared. Results: Compared with the outpatient group, the motor function and self-care ability of the 90-day treatment group were significantly improved (P <0.05). The incidence of recurrence, blood pressure control failure rate and complication rate Significantly reduced (P <0.05). CONCLUSIONS: Rehabilitation management of community-based stroke units centered on family-bed services is an effective model for the rehabilitation of patients with cerebral infarction.