广州医科大学学报

目的:观察脑卒中患者出院后康复情况及其影响因素。方法:采用调查问卷方式对出院3个月以上的脑卒中患者或其家属进行电话回访。结果:102例卒中患者,83例(81.4%)患者选择到镇、区级及以上医院就诊,而愿意选择到附近的社区医院就诊的仅19人(18.6%)。101例(99.0%)患者在出院后有继续使用药物治疗,仅10例(9.8%)进行规范的康复治疗。不同缺陷程度的脑卒中患者对康复需求有差别(P<0.05)。结论:脑卒中患者出院后康复治疗率低,社区就诊率低,对社区康复缺乏信心。通过加强康复教育,建立综合医院帮扶社区卫生服务站的模式,建立双向转诊模式,有助于提高脑卒中患者出院后康复治疗率。

Objective: To investigate the current situation and influencing factors on rehabilitation treatment in discharged stroke patients in Shunde district. Method: Stroke patients discharged more than three months and their family members received questionnaires by telephone follow-up. Result: The consultation rate of hospital in district,town and community was 81. 37% and 18. 63%,respectively. Among 122 patients,99% received drug therapy,whereas 9.8% received standard rehabilitation treatment. Stroke patients with different Bathel indes have different requirements for rehabilitation( P < 0. 05). Conclusion: Discharged stroke patients show low rates of rehabilitation treatment and community consultation,with less trust rely on community-based rehabilitation in Shunde district. Strengthening education of rehabilitation treatment,supporting community health service stations with general hospitals,and establishing two-way referral system is helpful in increasing the rehabilitation treatment rate of the discharged stroke patients.