重庆市二级以上综合医院运动心肺康复发展现状与对策

The research of development status and countermeasures of exercise cardiopulmonary rehabilitation in level 2 and above the general hospitals in Chongqing Municipality

目的了解重庆市二级以上综合医院临床运动心肺康复发展现状与存在问题，分析查找制约重庆市临床运动心肺康复发展的因素，并提出改革与发展建议。方法通过文献研究、实地走访与问卷调查，了解重庆市115所二级以上综合医院康复科以及运动心肺康复发展情况。向其中开展运动心肺康复业务的6所医院相关人员发放调查问卷500份，回收问卷483份，获得有效问卷351份。利用Epidata3．1及SPSS13．0汇总调研数据。结果重庆市115所二级以上综合医院康复科的设置率为41．7％，而开展心脏康复、运动心肺康复的医院仅有6家。康复科床位数少，基本人员配备不足，医护人员比仅为2：2．6，专职健康运动指导师数量严重缺乏。结论重庆市临床运动心肺康复呈现医院与地区相关政策建设滞后、康复治疗整体发展不平衡、发展起步晚、业务水平较低的状态。而缺乏专业健康运动指导师、医护人员整体认知不足、居民运动康复治疗接受度低、病源不足。是制约运动心肺康复发展的主要因素。

Objective To understand the current development situation and the existing problems and deficiencies of the exercise cardiopulmonary rehabilitation development in Level 2 and above the general hospitals in Chongqing, and to analyze and find out the factors restricting the development of cardiopulmonary rehabilitation in Chongqing, and put forward suggestions for reform and development. Methods Through literature research, field visits and questionnaire survey, the condition of 115 Level Two comprehensive hospital＇s rehabilitation and exercise cardiopulmonary rehabilitation development in Chongqing was understood. Among them, 500 questionnaires were sent to 6 hospitals concerned with cardiopulmonary rehabilitation service, and 483 questionnaires were received with 351 valid questionnaires. Epidata3.1 and SPSS 13.0 statistical software were used to gather research data. Results The settings rate of 115 secondary general hospital rehabilitation was 41.7%, while only 6 hospitals carried out cardiac rehabilitation and cardio pulmonary rehabilitation. There were few rehabilitation beds, the basic staffing w. as inadequate and the medical staff ratio was only 2 to 2.6. Besides, there is a severe shortage of full-time health instructors.Conclusion The clinical sports cardiopulmonary rehabilitation in Chongqing is as following： The construction of hospital related policies is lagging＇behind, the overall development of rehabilitation therapy is unbalanced, the development is late and the level of operation is low. While the lack of professiona3 health movement means that instructors and medical staff have cognitive impairment, residents have low acceptance of sports rehabilitation therapy and there are insufficient pathogens, which are the main factors that restrict the development of cardiopulmonary rehabilitation.