目的 观察社区康复护理对地震伤截瘫患者的疗效。 方法 2008年12月－2009年6月，选取都江堰市多家医院共87例康复期地震伤截瘫患者，其中观察组选取在社区采取康复护理措施的患者，对照组选取在住院期间进行健康宣教和出院时按常规进行出院指导的患者，比较两组研究对象的日常生活活动能力、并发症发生率和治疗效果。 结果 观察组日常生活活动能力优于对照组（F=8.042，P=0.009），并发症发生率低于对照组（泌尿系统感染：χ2=6.464，P=0.011），治疗效果优于对照组（U=598.500，P=0.001）。 结论 社区康复护理有利于改善地震伤截瘫患者的日常生活活动能力并预防并发症，对提高患者的生存质量有着十分重要的意义。
“5·12”汶川大地震发生已过去9个月，多数地震伤员已康复出院，回归社会，社区康复成为时下我们医务工作者的焦点。我们应当抓住地震伤员全面康复的时机，通过政府和康复工作者的努力，使社区康复尽快正规、完善，更重要的是要让广大地震伤员认识康复、参与康复，实现全面康复，让其真正回归家庭和社会。
ObjectiveTo explore the feasibility and effectiveness of community-based rehabilitation for patients with cerebral infarction. MethodThe 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. ResultsNo 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). ConclusionsCommunity-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.
Objective To explore the referral patterns for rehabilitation of patients with spinal cord injury (SCI) in community hospitals and establish green channel for SCI rehabilitation between community hospitals and large comprehensive hospitals. Methods Thirty SCI patients who were referred from the Center of Rehabilitation Medicine, West China Hospital to community hospitals between February 2013 and June 2014 were selected for this study. All the patients were assessed with American Spinal Injury Association (ASIA 2011), activities of daily living (ADL), and instrumental activities of daily living (IADL). Based on the assessment results, rehabilitation plan was made and the patients underwent community rehabilitation treatment. Results After rehabilitation treatment in community hospitals, the scores of ASIA, ADL and IADL in all the SCI patients were significantly higher than those at the time of referral (P<0.001). Conclusions SCI patients can accept rehabilitation treatment in community hospitals with good conditions. This practice can provide a new type of seamless referral pattern between large comprehensive hospitals and community hospitals for rehabilitation of SCI patients.