"医社协同"模式对社区脑卒中患者心理和运动功能的效果OA
Effect of medical-community linkage model on psychological status and motor function in community-dwelling patients with stroke
目的 探究"医社协同"模式对社区脑卒中患者日常生活活动能力、心理状态和运动功能的影响. 方法 选取2024年1月至2025年8月于北京市丰台区2家社区卫生服务中心及下属站就诊的脑卒中患者60例,随机分为对照组(n=30)和干预组(n=30).对照组予以常规临床药物干预、饮食护理和康复管理,干预组采用"医社协同"模式进行康复,共12周.干预前后采用改良Barthel指数(MBI)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和Fugl-Meyer评定量表(FMA)进行评定. 结果 干预后,两组患者MBI、HAMA、HAMD和FMA评分均显著改善(|t|>5.599,P<0.001),除MBI外,干预组均优于对照组(P<0.05);两组患者家属HAMA和HAMD评分均显著降低(|t|>10.333,P<0.001),干预组家属评分显著优于对照组家属(t>5.681,P<0.001). 结论 "医社协同"模式可进一步改善社区脑卒中患者运动功能、患者及其家属的心理状态.
Objective To explore the effect of the medical-community linkage model on activities of daily living,psychological sta-tus and motor function of stroke patients in the community. Methods A total of 60 stroke patients admitted to two community health service centers and their affiliated stations in Fengtai District,Beijing,from January,2024 to August,2025 were enrolled and randomly divided into control group(n=30)and intervention group(n=30).The control group received routine medicine,dietary care and re-habilitation management,while the intervention group underwent rehabilitation with the medical-community linkage model,for twelve weeks.They were assessed with modified Barthel Index(MBI),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Fugl-Meyer Assessment(FMA)before and after inter-vention. Results After intervention,the MBI,HAMA,HAMD and FMA scores of patients improved in both groups(|t|>5.599,P<0.001),and improved more in the intervention group than in the control group(P<0.05),except MBI.The HAMA and HAMD scores of family members decreased in both groups(|t|>10.333,P<0.001),and decreased more in the intervention group than in the control group(t>5.681,P<0.001). Conclusion The medical-community linkage model can further improve the motor function of stroke patients in commu-nity,as well as the psychological status of both patients and their family members.
谷玉红;段锦绣;薛明阳;杨婕;吴瑕;刘华;高宇芳;张蒙惠;叶财德
北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京市丰台区方庄社区卫生服务中心,北京市 100079北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京市丰台区方庄社区卫生服务中心,北京市 100079北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京市丰台区成寿寺街道社区卫生服务中心,北京市 100079北京丰台康复医院,北京市 100079
医药卫生
脑卒中医社协同社区康复
strokemedical-community linkage modelcommunity-based rehabilitation
《中国康复理论与实践》 2026 (5)
597-603,7
1.首都卫生发展科研专项项目(No.首发 2023-3S-015)2.北京市丰台区卫生健康系统科研项目(No.2023-14) Supported by Capital Health Development Research Special Project(No.2023-3S-015)and Scientific Research Project of Health System in Fengtai District of Beijing(No.2023-14)
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