广州市天河区社区康复服务能力的调查研究

Investigation of the community rehabilitation service ability of Tianhe District in Guangzhou City

目的调查广州市天河区社区康复服务能力,为社区康复服务能力建设提供依据。方法选择2016年9~11月天河区30个社区卫生服务中心发放问卷对社区康复医务人员情况、康复设施设备、康复治疗方法等服务能力进行调查,并抽样调查社区康复治疗脑卒中患者现状。结果共收回25个社区卫生服务中心的完整调查相关资料,其中24家有社区康复服务内容,1家未有社区康复服务内容。25家社区卫生服务中心中,康复医务人员共131名,其中康复医师占51.91%,康复治疗师占32.06%,康复护士占16.03%。拥有康复医师中级和初级职称的社区卫生服务中心分别占70.83%和83.33%,拥有高级职称医师的社区机构较少。大部分在社区工作的康复治疗师为大专学历的康复治疗士,属于初级以下职称,拥有初级治疗师职称的机构仅为20.83%。各社区卫生服务中心均有物理治疗、传统康复治疗项目,但开展言语吞咽治疗的仅为4.17%。进行脑卒中康复科普宣传教育的社区卫生服务中心占87.50%,行残疾人再就业康复训练的占29.17%。抽样调查社区脑卒中患者19例,68.42%的患者自行在家中行康复训练,仅57.89%到相关专业机构进行康复。结论目前广州市天河区社区康复服务能力有一定基础,但脑卒中患者在社区难以获得较好的康复服务,社区需重视康复医疗建设,普及推广康复意识,积极发展中西医结合社区康复服务。

Objective To investigate the community rehabilitation service ability of Tianhe District in Guangzhou City, in order to provide the basis for community rehabilitation service ability construction. Methods 30 community health service centers were selected to investigate the medical personnel, rehabilitation facilities, and rehabilitation treatment methods from September to November 2016. A sample survey was also performed to investigate the current rehabilitation status of patients with stroke in these communities. Results Complete survey reports were obtained from 25 centers, of which only 1 center did not offer rehabilitation services. There were 131 cases of rehabilitation medical staffs, of which the rehabilitation physician accounting for 51.91%, rehabilitation therapists accounting for 32.06%, and rehabilitation nurses accounting for 16.03%. The surveyed community health service centers had rehabilitation physicians with intermediate and junior titles accounting for 70.83% and 83.33%, respectively. Fewer rehabilitation physicians had senior title. The titles of most rehabilitation physicians were junior titles below, accounting for 20.83% of the communities. All community health service centers had physical therapy and traditional rehabilitation programs. However, only 4.17% of speech-swallowing-therapy programs was carried out. Furthermore, 87.50% of information campaigns and education programs for stroke rehabilitation were carried out by community health service centers. Thus, only 29.17% of the rehabilitation training programs for the disabled was performed. 19 patients with stroke were selected by sampling survey, 68.42% continued rehabilitation training at home, and 57.89% were admitted to relevant professional institutions for rehabilitation. Conclusion At present, the community rehabilitation service ability has some foundation in Tianhe District of Guangzhou City, but it is difficult to obtain better rehabilitation services of stroke patients. Therefore, communities should provide attention to the establishment of community rehabilitation services, promote rehabilitation awareness, and develop traditional Chinese and Western medicine community rehabilitation services.