Effect of medical-community linkage model on psychological status and motor function in community-dwelling patients with stroke
10.3969/j.issn.1006-9771.2026.05.010
- VernacularTitle:“医社协同”模式对社区脑卒中患者心理和运动功能的效果
- Author:
Yuhong GU
1
;
Jinxiu DUAN
2
;
Mingyang XUE
1
;
Jie YANG
1
;
Xia WU
2
;
Hua LIU
1
;
Yufang GAO
1
;
Menghui ZHANG
1
;
Caide YE
3
Author Information
1. Fengtai Chengshousi Subdistrict Community Healthcare Center, Beijing 100079, China
2. Fengtai Fangzhuang Community Health Service Center, Beijing 100079, China
3. Fengtai Rehabilitation Hospital of Beijing Municipality, Beijing 100079, China
- Publication Type:Journal Article
- Keywords:
stroke;
medical-community linkage model;
community-based rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2026;32(5):597-603
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effect of the medical-community linkage model on activities of daily living, psychological status and motor function of stroke patients in the community. MethodsA 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 rehabilitation 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 intervention. ResultsAfter 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). ConclusionThe medical-community linkage model can further improve the motor function of stroke patients in community, as well as the psychological status of both patients and their family members.
