Investigation of the community rehabilitation mode for hemiplegic patients relied on rehabilitation medicine of general hospital

ObjectiveTo explore the community rehabilitation mode for hemiplegic patients relied on rehabilitation medicine of general hospital.

MethodsSixty-two hemiplegic patients from Chongzhou City community medical institutions and 42 cases from Chongzhou People's Hospital were divided into the observation group and control group, respectively.The control group was treated with systematic rehabilitation method in rehabilitation center of hospital, and the observation group was treated with the community rehabilitation mode relied on rehabilitation medicine of general hospital.After six months, the treatment effects in two groups were evaluated using the simple Fugl-Meyer(FMA) scale, improved Barthel index(BI), and Hamilton Anxiety Scale(HAMA), and the rehabilitation costs between two groups were compared.

ResultsThere was no statistical significance in the scores of FMA, BI and HAMA between two groups before rehabilitation(P>0.05).After 6 months of rehabilitation, the scores of FMA and BI in two groups were significantly higher than those before treatment(P < 0.01), and the HAMA score in two groups were significantly lower than that before treatment(P < 0.05).The differences of the scores of FMA and BI between two groups were not statistically significant(P>0.05), and the score of HAMA in observation group was significantly higher than that in control group(P < 0.01).The average total cost of rehabilitation treatment in observation group(24 674.8±3 861.2)yuan was significantly lower than that in control group(38 672.5±6 167.4)yuan(P < 0.01).

ConclusionsUnder the guidance and co-management of general hospital, the physical rehabilitation treatment of hemiplegic patients in community hospitals is economic and effective, which can promote the construction of tertiary rehabilitation medical system.