哥打巴鲁地区中风患者的康复服务

Y. Azwany, M. Ain, H. M. Hafiz, A. Aman, A. Harith
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摘要

背景:康复是连续护理的一个重要组成部分,它确保中风患者能够在需要的时间和地点获得最适当的卫生服务。本研究描述脑卒中患者出院后不同类型的依赖程度及接受的康复服务。材料与方法:随机选取2014年1月至2015年12月住院的330例脑卒中患者进行横断面研究。患者信息表用于从患者病历中提取社会人口统计数据、临床特征和康复服务信息。采用R软件进行描述性分析。结果:绝大多数脑卒中患者(79%)被转诊到基层卫生保健团队接受进一步的社区康复治疗。所有卧床不起的中风患者均接受了以家庭为基础的康复服务。79例(23.9%)患者接受居家护理服务,其余患者接受护理访问121例(36.7%)或门诊130例(39%)。结论:考虑到资源的限制、实用性和患者依赖程度的要求,对所有脑卒中患者进行了公平的管理。我们需要进一步研究病人对所提供康复服务的满意度等服务结果,以指导目前的服务提供。关键词:康复,中风后,中风后,中风后康复
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REHABILITATION SERVICES AMONG STROKE PATIENTS IN KOTA BHARU DISTRICT
Background: Rehabilitation is a crucial component of the continuum of care, which ensures stroke patients have access to the most appropriate health services , when and where they need them. This study describe the different types of dependency levels and rehabilitation services received by stroke patients in after being discharged from hospitals. Materials and Methods: A cross sectional study was conducted among randomly selected 330 stroke patients admitted between January 2014 and December 2015. Patient information sheets were used to extract information on sociodemographic data, clinical characteristics and rehabilitation service received from patients’ medical record. Descriptive analysis was applied using R software. Result: Majority of stroke patients (79%) were referred to primary healthcare team for further rehabilitation at the community level. All bedridden stroke patients received home-based rehabilitation services. Seventy nine (23.9%) patients received domiciliary care services, whereas others received either nursing care visit 121 (36.7%) or outpatient service 130 (39%). Conclusion: All of the stroke patients were equitably managed considering the limitation in resources, practicability, and requirement based on the patients’ dependency levels. Further research is required to explore service outcome such as patients’ satisfaction towards those provided rehabilitation services in guiding the current service provision. Keywords: Rehabilitation, Post-stroke, Stroke, Post-stroke rehabilitation
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