Supplementing the effects of a stroke unit with community health services for stroke patients
10.3760/cma.j.issn.0254-1424.2009.11.008
- VernacularTitle:卒中单元与社区医疗服务结合模式对脑卒中患者临床疗效的影响
- Author:
Suping QI
;
Lin YIN
;
Shujie SUN
;
Yan WU
;
Jun WU
;
Chunhuan QI
;
Rang FAN
;
Yue ZHENG
;
Yang YU
- Publication Type:Journal Article
- Keywords:
Stroke units;
Community health care;
Stroke;
Depression
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2009;31(11):744-747
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of a stroke unit combined with community health services for treating stroke survivors. Methods A total of 120 stroke patients were randomly divided into a " stroke unit combined with community medicine" group ( combined group) , a stroke unit group and a general treatment group. Patients in the former 2 groups were treated in a hospital stroke unit during their hospitali-zation. The general treatment group was given conventional medical treatment. After discharge, the combined group continued to receive regular rehabilitation therapy and guidance in the form of community medical services, while the stroke unit group received follow-up only. Assessment was by means of Fugl-Meyer scores, the Barthel index and self-rating on a depression scale ( SDS). The patients were assessed at admission, on discharge and 3 months after discharge. Results There were no significant differences in average limb motor function, ability in the activities of daily living ( ADL) or depressive mood among the 3 groups on admission, but at discharge, limb motor function and ADL ability in the combined group and stroke unit groups were significantly superior to those in the general therapy group. Limb motor function and ADL ability in the combined and stroke unit groups had improved further 3 months after discharge, with more significant improvements in the combined group. No significant change in depression was observed in any group at discharge, but average depression scores in the combined and stroke unit groups improved significantly in the 3 months after discharge, and there was a statistically significant difference between the combined group and the general group. Conclusion Supplementing the work of a stroke unit with community health services significantly improves stroke patients' recovery of limb motor function and ADL ability.
