健康促进在社区脑卒中恢复期患者中成效分析.docVIP

健康促进在社区脑卒中恢复期患者中成效分析 　　摘 要 目的：探讨健康促进对社区脑卒中恢复期患者的效果。以规范脑卒中患者健康行为，提高生活质量。方法：对上海市郊区社区2006～2008年出院在家的脑卒中恢复期患者102例开展健康促进项目，采取团队上门家庭健康促进和集中健康促进模式，并于1年后对脑卒中患者健康行为、患者日常生活活动能力和患者（或家属）对社区卫生服务的满意度进行评价。结果：脑卒中恢复期患者的健康行为于健康促进后有明显改善；患者的日常生活活动能力明显提高，改良Barthel氏指数评分良、优者显著增多，与干预前比较差别有统计学意义（X/sup266.53，P＜0.01）；患者（或家属）对社区全科团队服务的满意度由健康促进前的35.3%上升到健康促进后的80.4%。结论：对社区脑卒中恢复期患者的健康促进可提高患者的生活质量，又可提高脑卒中恢复期患者和社区居民对社区卫生服务的满意度。 　　关键词 脑卒中恢复期患者 健康促进 社区卫生服务 　　 　　Effect analysis of stroke recovery in the community with health promotion 　　Ni Baimei;ZOU Yun;LIU Yinghua 　　Shanghai Qingpu District,flowers Bridge Community Health Center 　　AbstractObject:this article discussed the effects of stroke recovery in the community with health promotion to regulate the health behavior of stroke patients,and improve the quality of life.Methods:to promote the health of 102 recovering stroke patients among 2006～2008 suburban community in Shanghai hospital recovering stroke patients by taking home the team which is focused on family health promotion,health promotion model,and the health of stroke patients.And then analysis the satisfaction of community health services of the acts of daily life in patients activity and patient （or family）.Results:stroke recovery in the health behavior of patients showed improvement after health promotion;patients with activities of daily living significantly increased and well improved Barthels index score,also it had significant increased meanings compared with the intervention before which led to a significant differences（X/sup266.53,P＜0.01）;patients’（or families’） satisfaction with the services had increased from 35.3% to 80.4% after health promotion.Discussions:the quality of life of patients could be improved by promoting community health of recovering of stroke patients,what’s more,the community health service satisfaction of recovering of stroke patients and community residents could also be improved. 　　脑卒中是中老年人群的常见病，多发病，并且具有发病率、病死率、致残率、复发率高的特点［1］。随着脑卒中诊疗水平的提高，患者存活率也极大提高，