健康管理信息系统在脑卒中患者社区康复中的应用研究(1)
【摘要】 目的：探讨健康管理信息系统在脑卒中患者社区康复中的应用效果。方法：抽样选取2014年1-12月本社区脑卒中患者60例作为研究对象，将其分为研究组与对照组，每组30例。两组均进行规范化社区康复，研究组在此基础上，应用健康管理信息系统对患者康复过程进行连续个体化管理。两组患者均于研究开始时和3个月结束时，通过改良Barthel指数(MBI)和脑卒中康复知识问卷对患者的日常生活活动能力及康复知识掌握情况进行评价。结果：管理3个月后，两组MBI和脑卒中康复知识掌握率均高于管理前，且研究组优于对照组，比较差异均有统计学意义(P<0.05)。结论：健康管理信息系统应用于社区康复，可有效改善脑卒中偏瘫患者的康复效果，提高患者康复知识水平。
【关键词】 脑卒中； 社区康复； 信息系统
Application of Health Management Information System in Community Rehabilitation for Stroke Patients/HUANG Qun，ZHOU Yan-fen.//Medical Innovation of China，2016，13(10)：112-115
【Abstract】 Objective：To explore the effect of health management information system in community rehabilitation for stroke patients.Method：60 patients with stroke in our community from January to December 2014 were randomly selected as the research objects，they were divided into the study group and the control group，each group had 30 cases.Standardized treatment was given to both groups while the study group received continuous and effective management with health management information system.The activities of daily living and the master situation of rehabilitation knowledge of the two groups were assessed with Modified Barthel Index(MBI) and stroke questionnaire at the start of the study and at the end of 3 months.Result：The MBI and the master rate of stroke rehabilitation knowledge of the two groups were significantly improved after 3 months of community rehabilitation，and the indexes above of the study group were better than those of the control group，the differences were statistically significant(P<0.05).Conclusion：The application of health management information system for community rehabilitation can effectively improve the rehabilitation efficacy and rehabilitation knowledge level of patients with hemiplegia after stroke.
【Key words】 Stroke； Rehabilitation community； Information system
First-author’s address：Futian District People’s Hospital of Shenzhen City，Shenzhen 518000，China
doi：10.3969/j.issn.1674-4985.2016.10.033
脑卒中是一种世界范围内的常见病，致残率较高，部分患者卒中后常遗留有肢体偏瘫，严重影响今后的日常生活能力，给患者、家属和社会带来了极大压力[1]。但鉴于脑卒中的康复慢、住院治疗费用昂贵和大型综合医院康复资源的相对匮乏，患者大部分康复时间将在社区及家庭中度过[2-4]。为了实现患者在社区康复过程中连续个体化的管理，提高信息化水平，本市福田区在开展社区卫生服务过程中，自主研发了福田区家庭医生健康管理信息系统，并将其应用到社区康复服务中，明显提高了脑卒中患者社区康复的疗效，现报道如下。
1 资料与方法
1.1 一般资料 随机抽样选取2014年1-12月发病3个月内、已出院回归社区的脑卒中偏瘫患者60例作为研究对象，将其分为研究组和对照组，每组30例。纳入标准：(1)确诊脑卒中经治疗后出院，病情稳定的偏瘫患者；(2)意识清晰及对答切题者；(3)在社区长期居住，每年不少于6个月；(4)自愿参加本研究，并签署知情同意书者。排除标准：(1)风湿疾病、骨关节外伤、颅脑肿瘤、颅脑外伤等造成的肢体功能障碍者；(2)存在严重实质脏器疾病者；(3)患有精神科相关疾病者。研究组中男22例，女8例，平均年龄(61.7±1.4)岁；对照组中男21例，女9例，平均年龄(62.1±1.4)岁。两组性别和年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄群 周燕芬)
【关键词】 脑卒中； 社区康复； 信息系统
Application of Health Management Information System in Community Rehabilitation for Stroke Patients/HUANG Qun，ZHOU Yan-fen.//Medical Innovation of China，2016，13(10)：112-115
【Abstract】 Objective：To explore the effect of health management information system in community rehabilitation for stroke patients.Method：60 patients with stroke in our community from January to December 2014 were randomly selected as the research objects，they were divided into the study group and the control group，each group had 30 cases.Standardized treatment was given to both groups while the study group received continuous and effective management with health management information system.The activities of daily living and the master situation of rehabilitation knowledge of the two groups were assessed with Modified Barthel Index(MBI) and stroke questionnaire at the start of the study and at the end of 3 months.Result：The MBI and the master rate of stroke rehabilitation knowledge of the two groups were significantly improved after 3 months of community rehabilitation，and the indexes above of the study group were better than those of the control group，the differences were statistically significant(P<0.05).Conclusion：The application of health management information system for community rehabilitation can effectively improve the rehabilitation efficacy and rehabilitation knowledge level of patients with hemiplegia after stroke.
【Key words】 Stroke； Rehabilitation community； Information system
First-author’s address：Futian District People’s Hospital of Shenzhen City，Shenzhen 518000，China
doi：10.3969/j.issn.1674-4985.2016.10.033
脑卒中是一种世界范围内的常见病，致残率较高，部分患者卒中后常遗留有肢体偏瘫，严重影响今后的日常生活能力，给患者、家属和社会带来了极大压力[1]。但鉴于脑卒中的康复慢、住院治疗费用昂贵和大型综合医院康复资源的相对匮乏，患者大部分康复时间将在社区及家庭中度过[2-4]。为了实现患者在社区康复过程中连续个体化的管理，提高信息化水平，本市福田区在开展社区卫生服务过程中，自主研发了福田区家庭医生健康管理信息系统，并将其应用到社区康复服务中，明显提高了脑卒中患者社区康复的疗效，现报道如下。
1 资料与方法
1.1 一般资料 随机抽样选取2014年1-12月发病3个月内、已出院回归社区的脑卒中偏瘫患者60例作为研究对象，将其分为研究组和对照组，每组30例。纳入标准：(1)确诊脑卒中经治疗后出院，病情稳定的偏瘫患者；(2)意识清晰及对答切题者；(3)在社区长期居住，每年不少于6个月；(4)自愿参加本研究，并签署知情同意书者。排除标准：(1)风湿疾病、骨关节外伤、颅脑肿瘤、颅脑外伤等造成的肢体功能障碍者；(2)存在严重实质脏器疾病者；(3)患有精神科相关疾病者。研究组中男22例，女8例，平均年龄(61.7±1.4)岁；对照组中男21例，女9例，平均年龄(62.1±1.4)岁。两组性别和年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄群 周燕芬)