【摘要】：目的研究腦卒中患者在綜合醫(yī)院完成急性期治療后,后續(xù)康復機構選擇及相關影響因素。方法回顧2015年1月至12月急性期腦卒中患者230例,探討年齡、首次出院時改良Rankin量表(m RS)評分、轉診機構選擇等因素對轉診選擇的影響。結果共125例有轉診需求。m RS惡化,轉診需求增高(P0.05)。在轉診患者中,m RS 0~1分及2~3分患者對延續(xù)康復的需求高(F=4.300,P0.05);m RS 4~5分組對醫(yī)療質(zhì)量(F=3.464,P0.05)和對住院時長要求高(F=3.692,P0.05)�！�80歲組對醫(yī)療質(zhì)量要求更高(F=4.630,P0.05)。在本院繼續(xù)治療者更關注延續(xù)康復治療(F=7.590,P0.001),選擇康復�？茩C構者更關注康復質(zhì)量(F=32.156,P0.001),選擇社區(qū)和養(yǎng)老機構者則更多考慮住院時長(F=18.823,P0.001)和方便照料(F=14.070,P0.001)等。轉診醫(yī)療機構的信息來源于醫(yī)生占72.0%,來源于患者占28.0%。結論腦卒中急性期患者的功能障礙程度、年齡、對最終預后的預期影響對轉診的選擇。醫(yī)方掌握更多的康復醫(yī)療資源,在轉診過程中可給患方提供更為合理的建議。
[Abstract]:Objective to study the choice of follow-up rehabilitation institutions and related influencing factors after acute stage treatment in general hospital for patients with cerebral apoplexy. Methods A total of 230 patients with acute stroke from January to December 2015 were reviewed. The influence of age, (m RS) score of modified Rankin scale on the first discharge and the selection of referral institution were investigated. Results there were 125 cases with. M RS aggravation and higher referral demand (P 0.05). The patients with, m RS 0 ~ 1 and 2 ~ 3 points had a high demand for continuous rehabilitation (F4. 300 P 0.05). M RS 4 / 5 group had a higher requirement for medical quality (FN 3.464) and longer hospitalization time (FN 3.692 P 0.05), and the group of 鈮，

本文編號：2427801