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目的评价心脑血管疾病患者家庭病床管理模式的社区康复效果。方法选择二、三级医院出院,并在家庭康复的心脑血管疾病患者160例,随机分为对照组和家庭病床组,对照组采用常规的药物及康复治疗;家庭病床组在采用与对照组相同的康复治疗基础上,同时进行家庭病床服务模式管理,两组均随访6个月。采用Fugl-meyer评定法评估患者运动能力,生活质量综合评定问卷(GQOLI-74)评估生活质量,焦虑自评量表(SAS)、抑郁自评量表(SDS)评估焦虑、抑郁情况。结果两组患者Fugl-meyer评分在干预3、6个月后均较干预前明显提高,家庭病床组在3、6个月后的评分均高于对照组(P<0.05);干预6个月后,两组患者生活质量各维度评分均明显提高,家庭病床组躯体功能、心理功能及社会功能维度评分均高于对照组(P<0.05);干预期间,家庭病床组焦虑、抑郁的发生率均低于对照组(P<0.05)。结论家庭病床管理有助于心脑血管疾病患者的运动功能康复,提高生活质量,改善不良情绪。
Objective To evaluate the effect of community rehabilitation on family bed management in patients with cardiovascular and cerebrovascular diseases. Methods Two hundred and three hospitals were discharged from the hospital and 160 patients with cardiovascular rehabilitation were enrolled in the study. All patients were randomly divided into control group and family bed group. The control group was treated with conventional drugs and rehabilitation. Based on the same rehabilitation treatment, family-bed service mode management was conducted at the same time. Both groups were followed up for 6 months. The Fugl-meyer assessment was used to assess the patient’s ability to exercise, the Quality of Life Questionnaire (GQOLI-74) was used to assess the quality of life, anxiety self-rating scale (SAS) and depression self-rating scale (SDS) to assess anxiety and depression. Results The scores of Fugl-meyer score in both groups were significantly increased 3 and 6 months after intervention compared with those before intervention. The score of family medicine group after 3,6 months was higher than that of control group (P <0.05) After the intervention, the scores of anxiety and depression in family beds were significantly higher than those in control groups (P <0.05) Were lower than the control group (P <0.05). Conclusion Family bed management helps to improve motor function, improve quality of life and improve bad mood in patients with cardiovascular and cerebrovascular diseases.