Title: Investigation of Level-Classified Rehabilitation Management Mode in Community for Acute Stroke Patients
Abstract: Objective To investigate the effect of three-leveled rehabilitation management mode of hospital ward,community health service organization,and family on functional recovery of acute apoplexy patients,and its economic efficiency.Methods Total 158 acute apoplexy patients,diagnosed by CT or/and MRI from April 2005 to March 2008 in Huguo Temple Chinese medicine hospital,were divided randomly as the rehabilitation group(n=78)and control group(n=80).The patients in the rehabilitation group were given the three-leveled management:① First-level rehabilitation included,at the same time of conventional treatment in the hospital,3-month one-to-one rehabilitation training by a rehabilitation doctor,for 40 minutes,5 times a week.②Second-level rehabilitation included 1.5-2-month rehabilitation training in community health service station for 40 minutes,2 times a week at least;and the patients were given brochure on rehabilitation training.③ Third-level rehabilitation included three-month home rehabilitation training for 40 minutes,3 time a week at least;and during non-treating times,the patients were asked to do rehabilitation once or twice a day under the help by family members or nursing staff who had leant the correct method from the doctor.The patients in the control group were only given the first-level rehabilitation.The results after 6-month intervention in the two groups were evaluated by Fugl-Meyer motor-function scale,modified Barthel index,NIHSS,and Glasgow stupor scale.The relative costs were compared between the two groups,and the complications were in the two groups observed and recorded.Results There were significant differences in scores of Fugl-Meyer motor-function scale,modified Barthel index,NIHSS,and Glasgow stupor scale between the two groups after 6-month intervention(P0.05).Compared with the control group,the cost of the rehabilitation group was less,and the rate of complications was lower(P0.05).Conclusion The level-classified rehabilitation management mode in community for acute stroke patients is of good promotion role to recovery of each function,and it is of good social economic effect.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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