临床神经康复实则是对比研究

P. Schönle
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引用次数: 14

摘要

自90年代中期以来,公共健康保险公司和养老基金发展了门诊康复。门诊康复是一种多学科、医学监督下的综合性康复服务,在神经系统康复中主要是住院康复。在本文中,报告了一项大型研究(Schoenle和Leyhe, 2000)的部分结果,该研究在治疗终止后6个月对门诊和住院康复的效果进行了随访。主要结果是在观察到的时间间隔内效果的持久性和两种形式的康复的等效有效性。在两组患者中观察到明显的效果(住院患者的身体相关功能障碍进展比门诊患者的认知相关进展更多)。结果反映了德国神经康复的内在特征和神经康复的组织现状。
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Ambulante und stationäre neurologische Rehabilitation - ein katamnestischer Vergleich
Since the mid-90s outpatient rehabilitation has been developed by public health insurance companies and pension funds. Outpatient rehabilitation is defined as comprehensive multidisciplinary and medically supervised service which in neurological rehabilitation mostly follows inpatient rehabilitation. In the present paper partial results of a larger study (by Schoenle and Leyhe, 2000) are reported with respect to the follow-up of the effects of outpatient versus inpatient rehabilitation 6 month after termination of the treatment. Major results are the endurance of the effects over the observed time interval and the equivalent effectiveness of the two forms of rehabilitation. Distinct effects were observed for the two patient groups (more progress in the body related functional disturbances for inpatients versus cognitively related progress for the outpatients). The results reflect intrinsic features of neurological rehabilitation and the current organizational status of neurological rehabilitation in Germany.
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