医学论文-社区脑卒中患者居家状况调查.docVIP

医学论文-社区脑卒中患者居家状况调查 【摘要】? 目的 研究社区脑卒中患者居家状况，寻找相应防治对策，为开展社区慢性病管理提供依据。方法 选定上海市殷行社区1969例脑卒中患者及其主要照顾者进行入户问卷调查。结果 脑卒中患者生活完全自理239例，占12.1%，部分自理889例，占45.1%，丧失自理能力841例，占42.7%；1687例伴有功能障碍，其中伴语言障碍970例，占57.5%，伴肢体功能障碍1311例，占77.8%；115例患者每周3次锻炼，占5.8%，其中105例每次60min，10例≥60min；曾接受社区康复治疗48例，占2.4%。结论 脑卒中患者的居家状况不良，社区康复服务有待进一步提高。 【关键词】? 脑卒中　居家状况　调查　语言障碍　康复 ??? 【Abstract】? Objective? To study the house hold conditions of stroke patients in community and search strategy of corresponding prevention and cure and offer evidence for management of chronic disease in community. Methods? Patients with stroke in Yinhang community of Shanghai city and their main caregivers were interviewed by questionnaire in their homes. Results? There were 239 (12.1%) patients with stroke living complete self-help and 889 (45.1%) living partial self-help and 841(42.7%) living loss self-help. 1687 patients accompanied by functional impairment. Patients with language disorder were 57.5% and with limbs disturbance were 77.8%. 115 patients exercised three times a week. 105 patients exercised more than sixty minutes. 48 patients were accepted ever rehabilitative treatment in community. Conclusion? There are bad in the house hold condition of stroke patients. The community rehabilitative services urgently need to be raised. ??? 【Key words】? stroke; house hold condition; investigation; language disorder; rehabilitation ??? 脑卒中是我国中老年人的常见病、多发病，致残率和复发率高，给社会和家庭带来沉重负担［1］，有关脑卒中患者居家状况的研究少见报道，我院对上海市殷行社区脑卒中患者居家状况进行了调查,报告如下。 ??? 1? 资料与方法 ??? 1.1? 一般资料? 自行设计“脑卒中患者居家状况调查表”，内容为一般资料，生活习惯，诊疗情况，功能评定(日常生活活动能力、语言功能等)，康复训练情况等。采用逐个入户问卷调查的方式进行，共收回有效问卷1969 份。 ??? 1.2? 方法? 1969例脑卒中患者来源于上海市杨浦区殷行社区，诊断符合第四届全国脑血管病学术会议的诊断标准［2］，并经头颅CT或MRI证实，均神志清楚；其中男1105 例，女864 例；年龄 35～ 90岁，平均(70±1.26)岁，病程6个月～3 年。 ??? 2? 结果 ??? 2.1? 合并疾病情况? 脑卒中患者1969 例中合并高血压469例( 23.8%),冠心病79例(4.01 %),高血脂100例(5.17 %),糖尿病 60例( 3.04%)；定期到综合性医院或社区卫生服务中心进行检查263例(13.4%)，建立家庭病床56例(2.84%)；配有专职陪护人员567例(28.8%)。 ??? 2.2? 药物治疗情况? 坚持服药976例(49.6%)，其中服用中成药如丹参、脑安、脑心通、血塞通等脑卒中防治药物450例，占46.1%;服用阿司匹林、