医院―社区―家庭―居民―志愿者五位一体助医服务模式探究.doc

医院―社区―家庭―居民―志愿者五位一体助医服务模式探究 　　【摘要】 目的：探讨医院-社区-家庭-居民-志愿者五位一体助医服务模式对社区脑卒中偏瘫患者的干预效果。方法：选取本院脑卒中后患者130例，根据选取结果分为干预组和对照组。通过随访跟踪等方式干预1年后比较两组患者功能康复程度。干预组40例给予医院-社区-家庭-居民-志愿者五位一体助医服务模式，对照组40例给予常规模式，比较两组的效果。结果：实施实施医院-社区-家庭-居民-志愿者五位一体助医服务模式下的干预前，两组生存质量方面比较，差异均无统计学意义（P0.05）。干预后，干预组患者的力气、情绪、移动能力、参与与对照组比较，差异均有统计学意义（P0.05）。结论：实施医院-社区-家庭-居民-志愿者五位一体助医服务模式对脑卒中偏瘫患者有一定效果，可改善其力气、情绪、移动能力、参与，但在改善生存质量、记忆与思维、交流、ADL、手功能等方面依然需要加强 【关键词】 脑卒中后； 生存质量； SIS； 护理； 干预 Study on Hospital-community-family-resident-volunteer Service Mode of Medical Tourism/PEI Wen-hua，GONG Su-min.//Medical Innovation of China，2016，13（33）：130-133 【Abstract】 Objective：To investigate the intervention effect of hospital-community-family-resident-volunteer medical service to the community to help one of five stroke patients with hemiplegia.Method：130 stroke patients in our hospital were selected and divided into intervention group and control group according to the results.After 1 year of follow-up，two groups of patients with functional rehabilitation were compared.The intervention group of 40 patients given hospital-community-family-resident-volunteer medical service five in one mode，40 cases in control group were given conventional mode，the effects of the two groups were compared.Result：The implementation of hospital-community-family-resident-volunteer service mode of the five in one medical help before and after the intervention，compared two groups of quality of life，there were no significant differences（P0.05）.After the intervention，the intervention group strength，emotional，capacity，mobile participation compared with the control group，the differences were statistically significant（P0.05）.Conclusion：The implementation of hospital-community-family-resident-volunteer service mode of the five in one medical help have certain effect on stroke patients can improve their strength，emotion，mobility，participation，but in improving the quality of life，memory and thinking，communication，ADL，hand ability to strengthen party still