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目的:采用循证医学定性研究方法来研究城市脑卒中社区康复的路径。方法:随机选择宝安区10个社区进行社区康复治疗,选取进行社区康复治疗脑卒中患者120例作为观察组,同时选取没有进行社区康复治疗的患者120例作为对照组。分别在入组时、入组2个月末和入组5个月末对两组患者进行评定,对比治疗前后患者的康复状况。结果:5个月后,观察组运动功能恢复情况明显优于对照组(P<0.05);观察组康复治疗的效果显著优于对照组(P<0.05)。结论:脑卒中康复路径的建立明显有利于脑卒中患者的康复,提升脑卒中患者日常生活质量,促进其早期康复。
OBJECTIVE: To study the path of community rehabilitation in urban stroke by using the qualitative research methods of evidence-based medicine. Methods: Ten communities in Baoan District were selected randomly for community rehabilitation. 120 patients with stroke were selected as community-based rehabilitation group and 120 patients without community-based rehabilitation were selected as control group. At the end of enrollment, the two groups were evaluated at the end of the two months and the end of the five months of enrollment, and the recovery status of the patients before and after treatment was compared. Results: After 5 months, the recovery of motor function in observation group was significantly better than that in control group (P <0.05). The effect of rehabilitation therapy in observation group was significantly better than that in control group (P <0.05). Conclusion: The establishment of stroke rehabilitation pathway is significantly beneficial to the rehabilitation of patients with stroke, and enhance the quality of daily life of patients with stroke, and promote their early rehabilitation.