医学临床研究
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医学临床研究  2019, Vol. 36 Issue (4): 655-656    DOI: 10.3969/j.issn.1671-7171.2019.04.011
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家庭签约对脑卒中患者康复期疗效的影响
何敏兰, 陈银娟, 杨红玉, 胡运红
深圳市宝安区福永人民医院,广东 深圳 518103
Effect of Family Contract on Rehabilitation of Stroke Patients
HE Min-lan, CHEN Yin-juan, YANG Hong-yu, et al
Fuyong People's Hospital, Bao'an District, Shenzhen, Guangdong 518103, China
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摘要 【目的】探讨家庭签约对脑卒中患者康复效果的影响。【方法】选择本院2017年7月至2018年12月收治的200例脑卒中后遗症患者进行康复干预,随机分为观察组和对照组各100例。对照组患者出院后接受社区常规康复干预,观察组通过社区家庭医生签约服务对其进行康复干预。干预3个月、6个月及9个月后,使用改良Rankin(Modified Rankin Scale,MRS)评分量表评定患者的完全独立生活能力,采用自我感受负担量表(Self-perceived Burden Scale, SPBS)测定患者自我负担感受水平,采用家庭功能量表( APGAR) 评估患者的家庭功能,采用60 s坐-站次数(STS-60)评估肌力耐力,采用坐-站5次所需时间秒数(STS-5)评估肌力。【结果】干预前及干预后3个月,两组患者各项评分比较,差异无统计学意义(P>0.05);干预6个月和9个月后,两组MRS评分、SPB评分均较干预前明显降低(P<0.05),APGAR评分较干预前明显升高(P<0.05),且观察组患者MRS评分、SPB评分明显低于对照组(P<0.05),APGAR评分明显高于对照组(P<0.05)。干预前,两组患者STS-60和STS-5比较,差异无统计学意义(P>0.05);干预3个月,6个月以及9个月,两组STS-60均逐渐升高(P<0.05),且观察组明显高于对照组(P<0.05),两组STS-5逐渐降低(P<0.05),且观察组明显低于对照组(P<0.05)。【结论】社区实施家庭签约对脑卒中患者康复期疗效明显,在提升患者独立生活能力、运动能力、家庭功能以及降低自我感受负担方面均有明显的效果,且随着时间的推移,干预效果愈加明显,适宜推广应用。
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何敏兰
陈银娟
杨红玉
胡运红
关键词 中风/康复医师家庭    
Abstract【Objective】To explore the effect of family contract on rehabilitation of stroke patients. 【Methods】A total of 200 patients 200 patients with stroke sequelae admitted to our hospital from July 2017 to December 2018 were randomly divided into observation group and control group with 100 cases in each group. The patients in the control group received routine community rehabilitation intervention after discharge, while the patients in the observation group received rehabilitation intervention through the contracted services of community family doctors. After 3 months, 6 months and 9 months of intervention, the patients'ability to live completely independently was assessed by modified Rankin Scale (MRS), and the self-perceived Burden Scale (SPBS) was used to measure the patients' self-perceived burden. Family function scale (APGAR) was used to assess the family function of patients, 60s sit-and-stand (STS-60) were used to assess muscle endurance, and 5s sit-and-stand (STS-5) were used to assess muscle strength.【Results】 Before and 3 months after intervention, there was no significant difference in the scores between the two groups (P>0.05). After 6 months and 9 months of intervention, the MRS and SPB scores of the two groups were significantly lower than those before intervention (P<0.05), APGAR scores were significantly higher than those before intervention (P<0.05), and the MRS and SPB scores of the observation group were significantly lower than those of the control group (P<0.05), APGAR scores were significantly lower than those of the control group (P<0.05). It was significantly higher than that of the control group (P<0.05). Before intervention, there was no significant difference in STS-60 and STS-5 between the two groups (P>0.05); after 3 months, 6 months and 9 months of intervention, STS-60 in the two groups increased gradually (P<0.05), and that in the observation group was significantly higher than that in the control group (P<0.05), while that in the two groups decreased gradually (P<0.05), and that in the observation group was significantly lower than that in the control group (P<0.05).【Conclusion】 Community implementation of family contract has obvious effect on rehabilitation of stroke patients. It has obvious effect on improving patients'ability to live independently, exercise, family function and reducing their burden of self-feeling. With the passage of time, the effect of intervention becomes more obvious, and it is suitable for popularization and application.
Key wordsStroke/RH    Physicians    Family
收稿日期: 2019-03-15     
PACS:  R743.3  
基金资助:广东省医学科学技术研究基金项目(C2017033)
引用本文:   
何敏兰, 陈银娟, 杨红玉, 胡运红. 家庭签约对脑卒中患者康复期疗效的影响[J]. 医学临床研究, 2019, 36(4): 655-656.
HE Min-lan, CHEN Yin-juan, YANG Hong-yu, et al. Effect of Family Contract on Rehabilitation of Stroke Patients. JOURNAL OF CLINICAL RESEARCH, 2019, 36(4): 655-656.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.04.011     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I4/655
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