关键词: 卒中; 康复; 社区; 需求

Abstract:

【Abstract】 Objective To identify the current situation of rehabilitation awareness, demand for rehabilitation therapy of stroke patients in the communities of Chinese cities, in order to provide reference for rehabilitation education and suitable rehabilitation programs. Methods This community-based survey involving 964 stroke patients from three metropolises assesses rehabilitation awareness, the status of rehabilitation therapy and demands for rehabilitation therapy for stroke patients. Results Of the 964 patients, 33.7%(325) reported that they had received information on stroke rehabilitation and only 10.4%(100) patients were well informed of the topic. Seven hundred and fourteen(74.1%) had been hospitalized and 30.4%(294/964) received acute rehabilitation therapy during hospitalization. Of them, 198(20.5%) patients only received acupuncture and massage or manipulation; 178(18.5%) received physical therapy. After discharge, 35%(250/714) received continuous rehabilitation services. Among the reasons of not receiving rehabilitation services, "Don't know rehabilitation therapy" was placed on the first rank of all reasons. Most stroke patients(74.3%) preferred to receiving rehabilitation services in the centers of community health service. In fact, only 80(8.3%) received community-based rehabilitation(CBR) after discharge. Conclusion The status of rehabilitation therapy is worse than expected. The lack of awareness is an important barrier to early rehabilitation therapy. The importance of establishing an effective education and rehabilitation program to improve status of rehabilitation for stroke survivors should be emphasized.

Key words: Stroke survivors; Rehabilitation; Community; Demands