Research on Community-based Rehabilitation of Patients with Cerebral Infarction_West China Medical Journal

Authors：

 XUCui-ping ¹ , NINGBo ¹ , WANGNan ² , XIEChuan ² , ZHONGLi ¹ , LIWei ¹ , YANGFei ¹ , ZHUMei-rong ¹ , LUORui ¹

1. Department of Neurology, the First People's Hospital of Longquanyi District, Chengdu, Sichuan 610100, P. R. China;
2. Department of Rehabilitation, the First People's Hospital of Longquanyi District, Chengdu, Sichuan 610100, P. R. China;

Corresponding author：

Keywords：

Cerebral infarction; Community-based rehabilitation; Three-stage neurological rehabilitation

DOI：

10.7507/1002-0179.20150313

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Objective To explore the feasibility and effectiveness of community-based rehabilitation for patients with cerebral infarction. Method The cerebral infarction patients (n=285) registered before March 2011 and newly involved in the research between March 2011 and September 2012 were randomly divided into rehabilitation group (n=142) and control group (n=143). The doctors in community hospitals were trained by specialist physicians in Neurology Department and Rehabilitation Department from second-grade hospitals. Community physicians were responsible for the patients' rehabilitation for one year. Results No differences between the rehabilitation group and the control group in the time of enrollment situation (P>0.05). After six months of intervention, there were significant differences between the two groups of patients in neurological function, daily activity ability, anxiety and depression scale scores (P<0.05), and the difference was more significant after 12 months (P<0.01). The results of Kubota drinking experiment were significantly different between the two groups after six months of intervention (P<0.05). Conclusions Community-based rehabilitation treatment can significantly reduce the degree of physical and mental disability. The cooperation between second-grade hospitals and community hospitals is an effective way to realize three-stage neurological rehabilitation, which can better improve patients' quality of life and is helpful for them return to the society.

Citation： XUCui-ping, NINGBo, WANGNan, XIEChuan, ZHONGLi, LIWei, YANGFei, ZHUMei-rong, LUORui. Research on Community-based Rehabilitation of Patients with Cerebral Infarction. West China Medical Journal, 2015, 30(6): 1092-1095. doi: 10.7507/1002-0179.20150313 Copy

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1. 中华医学会神经病学分会脑血管病学组指南协作组. 中国缺血性卒中和短暂性脑缺血发作二级预防指南[J]. 中华神经科杂志, 2010, 43:154-160.
2. Hacke W, Donnan G, Fieschi C, et al. Association of outcome with early stroke treatment:pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials[J]. Lancet, 2004, 363(9411):768-774.
3. Zongjie Y, Hong D, Zhongxin X, et al. A research study into the requirements of disabled residents for rehabilitation services in Beijing[J]. Disabil Rehabil, 2007, 29(10):825-833.
4. 谢瑞娟, 和中月, 杨润亭, 等. 中小城市社区居民对康复治疗KAP现状的调查分析[J]. 河北职工医学院学报, 2008, 25(1):54-60.
5. 中华神经外科学会. 各类脑血管病诊断要点[J]. 中华神经科杂志, 1996, 29(6):379-380.
6. 张通, 李丽林, 毕胜, 等. 急性脑血管病三级康复治疗的前瞻性多中心随机对照研究[J]. 中华医学杂志, 2004, 84(23):1948-1954.
7. 于健君, 胡永善, 吴毅, 等. 社区康复干预对脑卒中患者日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2008, 30(4):260-264.
8. 李踔, 倪朝民, 韩瑞, 等. 连续规范化康复治疗对老年脑卒中患者生活质量和日常生活活动的影响:分层随机对照试验[J]. 中国临床康复, 2005, 9(25):1-3.
9. Weiss Z, Snir D, Klein B, et al. Effectiveness of home rehabilitation after stroke in Israel[J]. Int J Rehabil Res, 2004, 27(2):119-125.
10. Teng J, Mayo NE, Latimer E, et al. Costs and caregiver consequences of early supported discharge for stroke patients[J]. Stroke, 2003, 34(2):528-536.
11. Donnelly M, Power M, Russell M, et al. Randomized controlled trial of an early discharge rehabilitation service:the Belfast Community Stroke Trial[J]. Stroke, 2004, 35(1):127-133.
12. Gordon NF, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors:an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council[J]. Circulation, 2004, 109(16):2031-2041.
13. Legg L, Langhorne P, Outpatient Service Trialists. Rehabilitation therapy services for stroke patients living at home:systematic review of randomised trials[J]. Lancet, 2004, 363(946):352-356.
14. 胡世红, 凌睛, 胡永善, 等. 上海市闵行区脑卒中社区康复模式初探[J]. 中国康复医学杂志, 2014, 29(5):468-470.
15. 郑国俊, 梁晓艳, 兰丽梅. "三位一体"脑卒中社区康复模式及其效果的研究[J]. 吉林医学, 2013, 34(23):4652-4653.
16. 于健君, 胡永善, 范文可, 等. 脑卒中后的社区二级预防与康复治疗[J]. 中华全科医师杂志, 2005, 4(12):718-720.
17. 胡永善. 中国脑血管病后三级康复治疗的研究[J]. 2002, 6(7):935, 937.

West China Medical Journal

Research on Community-based Rehabilitation of Patients with Cerebral Infarction

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