长风社区肢体残疾人群个体化康复模式的建立和效果评估

Establishment of the individualized rehabilitation model for the people with physical disabilities and effect evaluation in Changfeng Community

目的:通过建立以全科团队为平台的家庭医生制的社区康复服务模式对残疾人康复效果进行评估。方法:选取社区内有肢体残疾者197例,随机分为两组,对照组(101例)采用传统的康复模式进行管理干预,研究组(96例)采用家庭医生制服务模式开展个体化康复模式管理干预。分别在干预前、干预后1、3、6个月利用社区康复肢体残疾功能评定表进行评定,并记录其中高血压及糖尿病患者的血压、空腹血糖等数据。结果:干预后1、3、6个月,两组研究组肢体残疾功能评分值均明显提高,组内高血压、糖尿病患者的血压、血糖均明显下降(P均<0.05)。干预后1、3、6个月时,研究组肢体残疾功能评分的提高值均高于对照组,研究组高血压患者的血压降低值大于对照组高血压患者,研究组中糖尿病患者的空腹血糖降低值大于对照组糖尿病患者,差异均有统计学意义(P均<0.05)。结论:以全科团队为平台的家庭医生制的社区康复服务模式可显著改善残疾人自身及其家庭的管理效果。

Objective： To evaluate the effect of the disability rehabilitation through establishment of the community rehabilitation service model provided by the team of general practitioners as the platform of the family doctor system. Methods： In the community, 197 cases with physical disabilities were selected and randomly divided into two groups. The control group with 101 cases were managed and intervened with the traditional rehabilitation model and the research group with 96 cases were managed and intervened with the individualized rehabilitation of the family doctor system model. The extremity disability assessment schedule of the community rehabilitation was used for the assessment before and after 1, 2 and 3 months intervention, respectively, among which the hypertension, and the blood pressure, fasting glucose and other data of the diabetics were recorded. Results： After 1, 2 and 3 months intervention, the physical disability function scores were obviously improved in two groups, and hypertension and the blood pressure and blood sugar of the diabetics decreased obviously within the group（P〈0.05）. The physical disability function scores increased more in the research group than in the control one and the blood pressure of the hypertension patients and the blood sugar of the diabetic patients decreased more greatly in the research group than in the control one, and the differences had the statistical significance（P〈0.05）. Conclusion： The community rehabilitation service model provided by the team of the general practitioners as the platform of the family doctor system can greatly improve the management effect of the disabled themselves and their families.