|
|
|
| Investigation of the community rehabilitation service ability of Tianhe District in Guangzhou City |
| CHEN Lianghua LIU Gang |
| Department of Rehabilitation Medicine, the Third Affiliated Hospital of Southern Medical University, Guangdong Province, Guangzhou 510630, China |
|
|
|
|
Abstract Objective To investigate the community rehabilitation service ability of Tianhe District in Guangzhou City, in order to provide the basis for community rehabilitation service ability construction. Methods 30 community health service centers were selected to investigate the medical personnel, rehabilitation facilities, and rehabilitation treatment methods from September to November 2016. A sample survey was also performed to investigate the current rehabilitation status of patients with stroke in these communities. Results Complete survey reports were obtained from 25 centers, of which only 1 center did not offer rehabilitation services. There were 131 cases of rehabilitation medical staffs, of which the rehabilitation physician accounting for 51.91%, rehabilitation therapists accounting for 32.06%, and rehabilitation nurses accounting for 16.03%. The surveyed community health service centers had rehabilitation physicians with intermediate and junior titles accounting for 70.83% and 83.33%, respectively. Fewer rehabilitation physicians had senior title. The titles of most rehabilitation physicians were junior titles below, accounting for 20.83% of the communities. All community health service centers had physical therapy and traditional rehabilitation programs. However, only 4.17% of speech-swallowing-therapy programs was carried out. Furthermore, 87.50% of information campaigns and education programs for stroke rehabilitation were carried out by community health service centers. Thus, only 29.17% of the rehabilitation training programs for the disabled was performed. 19 patients with stroke were selected by sampling survey, 68.42% continued rehabilitation training at home, and 57.89% were admitted to relevant professional institutions for rehabilitation. Conclusion At present, the community rehabilitation service ability has some foundation in Tianhe District of Guangzhou City, but it is difficult to obtain better rehabilitation services of stroke patients. Therefore, communities should provide attention to the establishment of community rehabilitation services, promote rehabilitation awareness, and develop traditional Chinese and Western medicine community rehabilitation services.
|
|
|
|
|
|
[1] 纪树荣.康复医学[M].北京：高等教育出版社，2010.
[2] 李建军.中国康复医学发展的回顾与展望[J].中国康复理论与实践，2011，17（1）：1-4.
[3] 王刚.社区康复学[M].北京：人民卫生出版社，2009.
[4] 南登昆，郭下成.康复医学临床指南[M].北京：科技出版社，1998.
[5] 粟秀初，孔繁元，范学文，等.现代脑血管病学[M].北京：人民军医出版社，2003.
[6] 聂萌.湖南常德地区脑卒中住院患者相关因素分析研究[D].长沙：中南大学，2013.
[7] 崔立军，胡永善，沈国光，等.我国脑卒中社区康复治疗模式研究现状[J].中国康复医学杂志，2010，25（2）：185-189.
[8] 葛晴霞，章慧霞，郭根平.社区康复卒中单元对脑卒中患者功能状态的影响[J].中国康复理论与实践，2012，18（11）：1021-1023.
[9] 崔晓，胡永善，吴毅，等.社区康复治疗对脑卒中患者日常生活活动能力的影响[J].中国康复医学杂志，2008，23（8）：735-736.
[10] Watanabe S，Yonemoto K，Ichiba M，et al. Community rehabilitation after brain injury with cognitive disorders [J]. Japanese Journal of Cognitive Neuroscience，2011，7（1）：59-65.
[11] 丁晓岚，陈正英，黄大元，等.湘西民族地区脑卒中患者社区康复现状及影响因素分析[J].中国康复医学杂志，2015，30（9）：934-936.
[12] 周丽萍，黄国志.顺德区脑卒中患者出院后康复治疗现状及分析[J].广州医科大学学报，2015，43（3）：104-106.
[13] 叶财德，陈立典，陈少枚，等.厦门市脑卒中患者社区康复情况调查分析[J].中国康复医学杂志，2009，24（9）：836-837.
[14] 蒋剑，张永平，张永裕，等.福建省康复医疗资源现状调查与发展探讨[J].中国康复医学杂志，2015，30（4）：369-373.
[15] 林诚，方诚冰，潘燕霞，等.福建省部分综合医院康复医学科发展状况调查与分析[J].福建医科大学学报：哲学社会科学版，2013，14（1）：21-23.
[16] 梁娟，林成杰.我国脑卒中患者社区康复探讨[J].中国康复，2012，27（4）：316-318.
[17] 李晓檬，李娅铃，姜嘉嘉，等.浙江省三级综合性医院康复医学科设置现状调查[J].中国康复，2017，32（1）：65-66.
[18] 何静杰，杨祖福.康复医学专业本科生教育现状与探讨[J].中国康复理论与实践，2011，17（8）：788-789.
[19] 曹晓红，方圆，周益众，等.上海市社区康复医学现状调查与对策[J].中国康复医学杂志，2016，31（8）：908-910.
[20] 郑洁皎，杨颖华，杨寅，等.上海市社区康复医疗资源现状调研[J].中华物理医学与康复杂志，2016，38（10）：781-783.
[21] 周谋望，岳寿伟，何成奇，等.“腰椎间盘突出症的康复治疗”中国专家共识[J].中国康复医学杂志，2017，32（2）：129-135.
[22] 张彦丽，程甘露，张卫平.被动运动关节类手法联合温针灸、微波治疗肩周炎远期疗效分析[J].中国康复医学杂志，2015，30（7）：718-720.
[23] 朱昌娥，余波，张雯，等.肌肉振动治疗配合常规康复对脑卒中后肩-手综合征的临床效果观察[J].中国康复医学杂志，2017，32（8）：902-906.
[24] 梁德坚，汤建伟，郭向辉，等.心血管康复治疗对老年冠心病临床疗效的影响[J].中国医药科学，2016，6（12）：156-158，192.
[25] 高春华，黄晓琳.我国脑卒中患者社区康复的进展[J].中国康复，2011，18（6）：475-477.
[26] 朱永峰，余思雀.卒中单元对卒中患者康复情况分析[J].中国医药科学，2016，6（2）：226-228. |
|
|
|
