“送康复服务上门”服务模式对社区残疾人群康复效果的评价研究

Impact of Outreach Rehabilitation Service on Community Disabled Residents

目的评价"送康复服务上门"服务模式对社区残疾人群的康复效果,为推广"送康复服务上门"服务模式提供依据。方法以社区残疾人群为研究对象,采用自身对照干预研究方法,分析比较社区残疾人群接受"送康复服务上门"服务前后的自测健康评定量表(SRHMS)得分、"送康复服务上门"的社会经济效益以及研究对象接受服务的满意度。结果本次研究对象共278人,与接受服务前相比,在接受服务6个月后,自测健康评定量表中的生理健康、心理健康、社会健康子量表得分和总得分均有显著提高,差异均有统计学意义(P<0.05);月均就诊次数、就诊时间和家人日均护理时间减少,医药费用下降,差异亦均有统计学意义(P<0.001)。研究对象对服务内容、服务形式、服务态度、服务水平、服务频次、服务效果和总体评价满意度为95.68%～98.92%。结论 "送康复服务上门"服务模式能有效提高残疾人的生活质量,具有较好的社会效益和经济效益,受到社区残疾人群的欢迎,值得推广。

Objective To evaluate the impact of outreach rehabilitation service on the community disabled residents.Methods The scores the Self-rated Health Measurement Scale（SRHMS） were rated among 278 community disabled residents before and after the delivery of outreach rehabilitation service.The social and economic benefits and the subjects′ satisfaction of the outreach rehabilitation service were measured.Results The total SRHMS score and the subscale scores of physiological health,mental health,and social health significantly increased six months after the delivery of outreach rehabilitation service（P〈0.05）.The average monthly visits,visiting time and medical expenses,and daily nursing time by family members decreased after provision of the service（P〈0.001）.The subjects′ satisfaction towards the service as a whole and of each service-related item（content,mode,attitude,quality,frequency,and effect） ranged 95.68%~98.92%.Conclusion The outreach rehabilitation service can effectively improve the quality of life of disabled residents in the community and thus yield positive social and economic benefits.