摘要
目的:评价社区-家庭康复模式在卒中后抑(PSD)患者康复中的作用。方法:纳入2012年12月至2015年12月上海市杨浦区五角场社区卫生服务中心辖区内12个月以内的新发卒中并伴有PSD的患者,进行前瞻性随机对照研究。建立以全科医师、康复医师及护士为成员的全科干预团队,干预组在全科团队指导下进行康复,并加强心理支持和自我认知教育,对照组常规随访管理。随访1年,比较两组患者抑郁状态、功能障碍和生存质量变化情况。结果:共纳入63例患者,其中干预组32例,对照组31例,两组基线状况无明显差异。随访1年后,干预组在抑郁状态、综合功能障碍和生存质量改善方面显著优于对照组,综合功能障碍的改善与抑郁状态改善有相关性。结论:社区-家庭康复模式有利于PSD患者的社区康复,值得进一步推广。
Objective:Poststroke depression(PSD)is a common complication of stroke and affects the rehabilitation of patients.To evaluate the efficiency of the community and family-based rehabilitation strategy in the rehabilitation of patients with PSD.Methods:Patients who suffered from stroke within 12 months before enrollment and complicated with PSD were enrolled in the prospective randomized controlled study.The rehabilitation of the patients in the treated group included help from the families under the regular guidance of a team consisting of a general practitioner,a physiatrist,and a nurse,while the patients in the control group were followed up by a general practitioner centered team in a routine manner.Improvements in the depression status,dysfunction,and quality of life were compared between patients of the two groups after one year.Results:Totally,63 patients were enrolled in the study,32 in the treated group and 31 in the control group.No significant differences were found concerning the baseline data between the two groups.However,the improvements of the treated groups were much greater than the control group in the depression status,dysfunction,and quality of life as well.There was a correlation between the improvement of dysfunction and depression status.Conclusions:The community and family-based rehabilitation program is effective in the rehabilitation of patients with PSD.
作者
张晓芒
朱卫红
江勤康
甘丽芬
ZHANG Xiao-mang;ZHU Wei-hong;JIANG Qin-kang;GAN Li-fen(Wujiaochang Community Healthcare Center, Yangpu District, Shanghai 200434, China;Department of Neurosurgery, Changhai Hospital, Navel Medical University, Shanghai 200433, China)
出处
《中国临床医学》
2020年第4期657-661,共5页
Chinese Journal of Clinical Medicine
基金
上海市杨浦区卫生系统青年课题-杨卫计委[2013]62-12(青)。
关键词
卒中后抑郁
康复
社区-家庭康复模式
poststroke depression
rehabilitation
community and family-based rehabilitation strategy
