| As the speeding up of old-aged and enlarging of the pressure about the social and living , the incidence of stroke appears the trend of increasing year by year, and it seriously threats the patients'safety .As a result of the development of medical technology, the mortality rates has drastically reduced, but its high rate of causing disability could make severe blow both on physical and psychology, not only reducing their quality of life, but also put the heavy financial burden to the family and the community. Therefore, the prognosis of stroke rehabilitation is accepting more and more attention and becoming a hotspot.Community-based rehabilitation as an emerging mode in the 20th century have been accepted by the majority and gotten rapid development because of its unique advantages.Now our country are actively ingresing this medical mode, giving full play to the advantages of the community hospital.This study by observing subject whether accepting community-based rehabilitation treatment to determine the affect of community-based rehabilitation therapy in stroke recovery, and analysis the impact of age, gender and other factors during the community-based rehabilitation treatmentPurpose: to understand the effect of community-based rehabilitation in stroke patients as well as the impact of age, sex, and other factors to the prognosis.Aiming to provide appropriate measures for providing Special rehabilitation method to different groups .Method: stroke patients are divided into functional rehabilitation unit and control group based on accepting community-based rehabilitation treatmentor not , by measuring the cognitive function and of assessing rehabilitation on and cognitive function, to improve their own Barthel Babbitt index (index) assessment, features comprehensive assessment scale for evaluation of the standard rate on volunteers to independent and Chi-square test differences to analyze your data.Results: functional rehabilitation unit by analyses indicate that patients in exercise capacity and cognitive aspects than control group has significantly improved, there is a description of significance, the differences between community-based rehabilitation of stroke patients with positive outcomes.Functional rehabilitation unit with a control group of various rehabilitation projects in the rehabilitation of the total score before no significant differences between (p > 0.05), treatment, rehabilitation treatment group's total score and the control group, more obvious elevated (P0.05), the difference between the total scores with a noticeably higher than the control group (P<0.05).Functional rehabilitation unit with a control group of various rehabilitation projects in the rehabilitation of movement before the function no significant differences between (p > 0.05), treated and, in addition to the consumption of function without obvious differences, rehabilitative treatment group of various sports with a control group functional scores more distinctly higher conentration (P<0.05).Gender: men and women eat function peacefully walking function before and after undergoing rehabilitation scoring no significant differences between (p > 0.05), bathing, dressing, modified, closets, Fu bed Chair mobility features both significant improvement (P<0.05).Women and water control capability and the ability to down the stairs scored by significantly increase rehabilitation (P0.05), while the male no obvious change (p > 0.05).Motor function always marks a significant improvement (P<0.05).Age: eating function in all ages rehabilitation both before and after the change is not obvious; 45-60 and 61-70-year-old age group of various sports features score through rehabilitation significantly increase (P<0.05); 71 ~ 80-year-old age group bathing, dressing, modification and function with closet through rehabilitation, there is a clear improvement (P0.05), but big and water control features, Fu bed Chair move, walking, and down the stairs in the Plains features score through rehabilitation did not significantly increase (p > 0.05).Educational attainment: in education level of different stroke patients, their bathing, dressing, modified, closets, Fu bed Chair move, up and down stairs features score and Barthel total scores and rehabilitation treatment earlier are significant improvement (P<0.05), and the bladder and bowel control, walking ability scores in the plains in a high school education, improving in patients with significant difference (P<0.05).Eating ability score on a different level of education in the rehabilitation of patients before and after treatment with no obvious change (p > 0.05).Clinical treatment was admitted to the rehabilitation of communities: stroke patients in clinical treatment within 1 month end into the community rehabilitation, its modification and dressing function scores significantly increase (P<0.05), but other motor function scores are then totaled and rehabilitation Barthel and earlier is not obvious change (p>0.05); clinical treatment end 1 ~ 3 months into the community rehabilitation therapy, bathing, dressing, modified with closets, move, Pok Fu bed Chair and walking down the stairs in the plains of function and rehabilitation treatment earlier significant improvement (P<0.05), are then totaled a noticeably higher than Barthel rehabilitation therapy before (P<0.05); the end of the clinical treatment of more than 3 months bathing, dressing of patients and the score by flushing capability and rehabilitation treatment earlier significant improvement (P<0.05), and modified, bed Chair move, walking down the stairs in the Plains and function of the score and Barthel total scores and rehabilitation treatment earlier no obvious improvement (p > 0.05).Occupation: in patients with different occupations, bathing, dressing, modified with closets, Fu bed Chair move, up and down stairs features score and Barthel total scores and rehabilitation treatment earlier are significant improvement (P<0.05), and has scored a bowel or bladder control capability in rehabilitation, are not markedly improve (p > 0.05); and in financial business group of patients with its Plains walking ability score higher than rehabilitation treatment (P<0.05).Cognitive functions: the control group and rehabilitation treatment group of cognitive function survey findings show that listening comprehension, speech communication skills, understanding of social relations, problem solving skills and memory in rehabilitation are no obvious differences (p > 0.05), as amended by rehabilitation of patients in addition to the verbal ability and do not accept the rehabilitation of patients with no obvious differences (p<0.05), the remaining items are significantly increase cognitive function (P<0.05).through rehabilitation of stroke motor function and cognitive function and without the rehabilitation of the control group had significantly improved, motor function in various comparison with the control group.Entering the community rehabilitation therapy, patients with age, gender, occupation, educational level, clinical treatment into a community rehabilitation of time and other factors on stroke rehabilitation in varying degrees in both.Conclusion: entering the community rehabilitation therapy, patients with age, gender, occupation, educational level, clinical treatment into a community rehabilitation of time and other factors on stroke rehabilitation in varying degrees in both. ehabilitation of cognitive rehabilitation more visible improvement, in front of the measures to promote the rehabilitation of stroke motor function and the rehabilitation of cognitive function.Patients with stroke that is conducive to improving the quality of life and social adaptability.This study for future stroke rehabilitation work for different groups of people to take appropriate measures to provide rehabilitation. |
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