Criteria of admission and discharge for stroke patients in home-based rehabilitation
10.3760/cma.j.issn.1671-7368.2017.03.004
- VernacularTitle:社区脑卒中患者居家康复准入及退出标准研究
- Author:
Yuan FANG
;
Hong ZHANG
;
Jie ZHANG
;
Yongxiang ZHOU
;
Yu XU
;
Jianping WU
- Keywords:
Stroke;
Rehabilitation;
Community health services
- From:
Chinese Journal of General Practitioners
2017;16(3):184-189
- CountryChina
- Language:Chinese
-
Abstract:
Sixteen experts were invited and two-round Delphi expert consultation of admission and discharge criteria for stroke patients in home-based rehabilitation were conducted from April to October 2015.Results showed that the enthusiasm and authority degree of experts in two rounds consultation were favorable.The modified admission criteria included 8 inclusive conditions and 6 exclusive conditions.Among 8 inclusive conditions,home-based rehabilitation intervention time and NIHSS score were the necessary conditions for admission,in addition to 6 exclusion conditions.With the necessary conditions,if patients had disturbances of one or more following conditions:motor function,tactile and proprioceptive function,communication function,cognitive function,quality of life and other symptoms,they were eligible to be admitted in home-based rehabilitation in community.The discharged criteria contained two aspects:1.the conditions in admitted criteria reaching the plateau;2.the occurrence of unexpected situations,including disease worsening,deep vein thrombosis and stroke recurrence.The admission and discharged criteria developed in this study has high credibility and can be recommended for practical application in other communities in home-based rehabilitation of stroke patients,which also can be used for implementation of level-classified rehabilitation for stroke patients.
