社区脑卒中患者连续康复护理现状分析及影响因素研究

Status and Influencing Factors of Continuous Rehabilitation Nursing Care for Patients with Stroke in Community

目的:分析社区脑卒中患者连续康复护理现状及影响因素。方法:选180例脑卒中患者跟踪分析,依据是否连续护理均分至连续康复护理的观察组(60例)与未接受社区连续康复护理对照组(120例),进行调查分析。结果:9个社区中仅有3个社区于脑卒中患者出院后开展了连续康复护理;观察组运动功能评分、生活功能评分、并发症率均优于对照组,P<0.05。结论:受医疗资源分布、患者职业、医疗付费方式以及医疗资源利用率等因素的影响,社区连续康复护理的应用尚未有效展开。

Objective：To analyze the status and influencing factors of continuous rehabilitation nursing for stroke patients in community.Methods：180 patients with cerebral apoplexy were selected and followed up.All patients were divided into observation group（60 cases,continuous rehabilitation nursing）and control group（120 cases,with no community continuous rehabilitation care）according to whether the continuous nursing,then the investigation and analysis were conducted.Results：Only 3 communities in 9 communities carried out continuous rehabilitation care after discharge of stroke patients.The motor function score,life function score and the complication rate in the observation group were better than those in the control group（P〈0.05）.Conclusion：Affected by the distribution of medical resources,the occupation of patients,the mode of medical payment and the utilization of medical resources,the application of community continuous rehabilitation nursing has not been carried out effectively.