现阶段脑卒中后果患者康复的一些问题

Q4 Immunology and Microbiology Acta Biomedica Scientifica Pub Date : 2023-07-11 DOI:10.29413/abs.2023-8.3.12
S. S. Memetov, V. Safronenko, Y. Zakharchenko, L. Danilenko, V. Kim, A. Makarenko, D. V. Grishin
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引用次数: 0

摘要

背景。急性脑血管疾病是现代社会严重致残的主要原因之一。俄罗斯和国外的研究人员注意到卒中患者年轻化的新趋势,这反过来又显著增加了这些患者在不同阶段的治疗和康复的相关性。的目标。目的:研究脑卒中患者的社会卫生特征,确定其康复早期的医疗康复需求。材料和方法。我们研究了2020年和2021年在联邦医疗和生物局南区医疗中心专业康复科接受康复治疗的109例脑卒中患者的社会和卫生特征,并采用分析法、专家评估法和问卷调查法确定了他们的医疗康复需求。中风患者恢复期早期的平均画像如下:男性,年龄61 - 70岁,受过高等或中等专业教育,失业,生活在城市。高达30%的中风幸存者被认定为残疾;其中,严重残疾者(第一组和第二组)占多数,高达90%。医院急症期和门诊早期恢复期康复措施的实施水平相当低。接受多学科康复小组检查的患者比例为17.4% ~ 10.1%。专业康复中心提供的医疗康复措施非常有限;接受调查的队伍中有一半以上(52.3%)在获得转诊治疗方面遇到问题,大约一半的答复者(46.8%)等待转诊长达6个月,这表明需要在区域一级扩大这类机构的网络。
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Some problematic issues of rehabilitation of patients with the stroke consequences at the present stage
Background. Acute cerebrovascular disorders are one of the main causes of severe disability in modern society. Russian and foreign researchers register the emerging trend towards rejuvenation of the patients with stroke, which, in turn, significantly increases the relevance of the treatment and rehabilitation of these patients at various stages.The aim. To study the social and hygienic characteristics of the stroke patients and to determine their need for medical rehabilitation in the early recovery period.Materials and methods. We studied the social and hygienic characteristics of 109 patients who had stroke in 2020 and 2021 and underwent rehabilitation in the specialized rehabilitation department of the Southern District Medical Center of the Federal Medical and Biological Agency, and determined their need for medical rehabilitation using the analytical method, the method of expert assessments and questionnaires.Results. The average portrait of a patient with a stroke in the early recovery period is as follows: this is a man aged 61 to 70 years with a higher or secondary specialized education, unemployed, living in the city. Up to 30 % of stroke survivors were recognized as disabled; among which, the persons with more severe disability (groups I and II) predominate – up to 90 %. Implementation of rehabilitation measures in the acute period in the hospital and in the early recovery period in the outpatient clinic is carried out at a fairly low level. The percentage of patients being examined by a multidisciplinary rehabilitation team ranges from 17.4 to 10.1 %.Conclusion. The availability of medical rehabilitation measures in a specialized rehabilitation center is quite limited; more than half of the surveyed contingent (52.3 %) experienced problems in obtaining a referral to treatment, about half of the respondents (46.8 %) waited up to 6 months for a referral, which indicates the need to expand the network of such institutions at the regional level.
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来源期刊
Acta Biomedica Scientifica
Acta Biomedica Scientifica Immunology and Microbiology-General Immunology and Microbiology
CiteScore
0.40
自引率
0.00%
发文量
106
审稿时长
7 weeks
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