Objective To learn the execution rate of antispasmodic position to the patients with dystonia which caused by cerebral apoplexy and brain trauma in a rehabilitation center, and to provide evidence for the better rehabilitation through analyzing the relative reasons. Methods Convenience sampling was used to investigate 76 patients by self-design questionnaire. All the participants had been diagnosed as stroke or traumatic brain injuries and been ordered to keep antispasmodic position. Results The self-executing rate of antispasmodic position was 28. 95%, and it increased to 59. 21% under the guidance and supervision of nurses (χ2 =14.12,P <0. 05). There was no significant difference in genders, diseases types and relationship between patients and caregivers (relatives or non-relatives) (P>0. 05). The execution rate of female caregivers and common caregivers were higher than male caregivers (P<0. 05). Conclusions The self-executing rate of antispasmodic position is low, thus guidance supervision from nurses are needed. The execution rate can be improved when female givers participate the position setting.

Objective To investigate the home-based rehabilitation of stroke patients in China, and to compare the curative effects under different factors, so as to discuss the strategies for home-based rehabilitation. Methods A total of 234 cases of stroke patients who has been discharged from the center of rehabilitation medicine of a Class Ⅲ Grade A hospital were selected by random cluster sampling method. Family rehabilitation status of patients and their caregivers was investigated by outpatient follow-up, home follow-up and telephone follow-up survey. In the survey, the general information questionnaire, the Barthel Index (BI), the Instrumental Activities of Daily Living (IADL), the Self-perceived Burden Scale (SPBS) and the Zarit Caregiver Burden Interview (ZBI) were applied. Results The results showed that the BI score was (61.77±22.83). The average score of IADL was (7.25±6.26). The SPB score was (29.26±7.07). 91.13% of the patients in the study group had a sense of burden. The ZBI score of the caregivers was (43.97±12.28), 59.40% of which had moderate or severe burden. The result of single factor analysis showed that the differences in the scores of BI, IADL, SPBS and ZBI of patients in different gender were statistically significant (P＜ 0.05). There were significant differences in BI and IADL scores among patients of different ages, main caregivers, family rehabilitation time and caregivers' gender (P＜ 0.05). The differences in the scores of IADL and SPBS of patients with different educational level were statistically significant (P＜0.05). The differences in BI and ZBI scores of patients with different disease types were statistically significant (P＜0.05). Conclusions The family rehabilitation of stroke patients is poor. Medical workers should pay attention to the rehabilitation of patients after discharge, especially to female stroke patients, caregivers and to strengthen the rehabilitation knowledge training for male caregivers. It is suggested that community rehabilitation, family doctor responsibility system and hospital-community-family Union should be vigorously developed so as to improve the family rehabilitation of stroke patients, reduce readmission rate, increase the utilization of social resources, and improve the health level of the whole people.