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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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.
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17.	胡永善. 中國腦血管病后三級康復治療的研究[J]. 2002, 6(7):935, 937.

1. 中華醫學會神經病學分會腦血管病學組指南協作組. 中國缺血性卒中和短暫性腦缺血發作二級預防指南[J]. 中華神經科雜志, 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. 謝瑞娟, 和中月, 楊潤亭, 等. 中小城市社區居民對康復治療KAP現狀的調查分析[J]. 河北職工醫學院學報, 2008, 25(1):54-60.
5. 中華神經外科學會. 各類腦血管病診斷要點[J]. 中華神經科雜志, 1996, 29(6):379-380.
6. 張通, 李麗林, 畢勝, 等. 急性腦血管病三級康復治療的前瞻性多中心隨機對照研究[J]. 中華醫學雜志, 2004, 84(23):1948-1954.
7. 于健君, 胡永善, 吳毅, 等. 社區康復干預對腦卒中患者日常生活活動能力的影響[J]. 中華物理醫學與康復雜志, 2008, 30(4):260-264.
8. 李踔, 倪朝民, 韓瑞, 等. 連續規范化康復治療對老年腦卒中患者生活質量和日常生活活動的影響:分層隨機對照試驗[J]. 中國臨床康復, 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. 胡世紅, 凌睛, 胡永善, 等. 上海市閔行區腦卒中社區康復模式初探[J]. 中國康復醫學雜志, 2014, 29(5):468-470.
15. 鄭國俊, 梁曉艷, 蘭麗梅. "三位一體"腦卒中社區康復模式及其效果的研究[J]. 吉林醫學, 2013, 34(23):4652-4653.
16. 于健君, 胡永善, 范文可, 等. 腦卒中后的社區二級預防與康復治療[J]. 中華全科醫師雜志, 2005, 4(12):718-720.
17. 胡永善. 中國腦血管病后三級康復治療的研究[J]. 2002, 6(7):935, 937.

West China Medical Journal

Research on Community-based Rehabilitation of Patients with Cerebral Infarction

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