Objective To explore the application effect of the hierarchical rehabilitation management mode of the community health service organization of the specialized hospital ward and a community health service institution in the community standardized management of the stroke patients.
Methods A total of 100 acute apoplexy patients, diagnosed by CT or MRI from March, 2014 to February, 2015 in specialist hospital, was divided randomly into the rehabilitation group (
n=50) and control group (
n=50).The patients in the rehabilitation group were given the three-level management:(1) Firstlevel rehabilitation included acute stage treatment in the specialist hospital. (2) Second-level rehabilitation included three month rehabilitation training in community health service station for 40 minutes, 2 times a week at least;and the patients were given brochure on rehabilitation training. (3) Third-level rehabilitation included nine month home rehabilitation training for 40 minutes, once in two week;and during non-treating times, the patients were asked to do rehabilitation once or twice a day under the help by family members or nursing staff who had learnt the correct method from the doctor, the control group continued to carry out the general management.
Results Fugl-Meyer motor function evaluation, FIM evaluation and modified Barthel index were used to evaluate the therapeutic effect of the 6 months and 12 months after the selection.Before the intervention, the two groups of Fugl-Meye, modified FIM Barthel index score, the difference was not statistically significant (
P > 0.05).Intervention for 6 months and 12 months, the intervention group Fugl-Meye, improved Barthel and FIM scores, significantly higher than those in the control group (
P < 0.01).
Conclusion In the community of grading rehabilitation management mode of stroke community norms of management, the function of stroke patients recovery plays a good promoting role in improving the quality of life, with better social and economic effects.
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