Objective To observe the effect of community-based rehabilitation stroke unit on the function of stroke patients. Methods 94 patients with stroke were divided into intervention group (n=47) and control group (n=47). The control group accepted routine community home care, while the intervention group accepted community-based rehabilitation stroke unit care. They were assessed with modified Barthel index (MBI), simple Fugl-Meyer assessment (FMA) and Social Disability Screening Schedule (SDSS) before and after intervention. Results There was not significant difference between the groups in scores of MBI, FMA and SDSS (P>0.05) before intervention. All the scores improved significantly in both groups (P<0.01) 3 months after intervention, and improved more in the intervention group than in the control group (P<0.05). Conclusion Community-based rehabilitation stroke unit can improve the functional recovery of stroke patients.

Objective To observe the effect of motor imagery on unilateral spatial neglect (USN) in stroke patients. Methods 40 stroke patients with USN were divided into treatment group (n=20) and control group (n=20). Both groups received routine physical therapy training,while the treatment group received motor imagery in addition. All the patients were assessed with Chinese Behavioral Inattention Test (CBIT), Mini-mental State Examination (MMSE), Fugl-Meyer assessment (FMA) and modified Barthel index (MBI) before and 8 weeks after treatment. Results The scores of CBIT, MMSE, FMA and MBI were better in the treatment group than in the control group (P<0.01).Conclusion Motor imagery combined with routine physical treatment can improve the function of stroke patients with USN and their activities of daily living.

This paper discussed the current status of home care demand in China from the degree and content of home care demand. It analyzed the influencing factors of residents' home care services acceptance in the aspects of the demographic characteristics, awareness of home care services, health status of residents and lifestyle, so as to provide basic reference for the development of home care service in China.

Objective To investigate the self-care agency in disabled elders of community and to explore effects of medical care and nursing service integration on self-care agency in disabled elders with different degrees of disability in community. Methods We traced and investigated a total of 42 disabled elders signed medical care and nursing service integration with a community. The self-care agency was compared with the Chinese Version of the Self-care Ability Scale for the Elderly (SASE-CHI) before and six months after service objects accepting services. Results The average of self-care ability of community disabled elders was (48.69±12.11) with a low level. Six months after accepting medical care and nursing service integration, the score of self-care ability of disabled elders increased along with (53.07±8.68) in total score of self-care ability, (21.38±3.76) in objective dimension and (25.62±4.39) in skill dimension. There were significant differences in scores of self-care ability compared before and after accepting service (t=-2.346,-2.592, -2.731;P<0.05). There were small changes in elders with mild disability before and after accepting services (P>0.05). The total score of self-care ability and score of skill dimension increased in elders with moderate and severe ability after accepting services, the differences were statistically significant (P<0.05). Conclusions The self-care ability of community disabled elders is in a low level. The medical care and nursing service integration can improve self-care ability of community disabled elders. However, there is great room to upgrade.