發(fā)布時(shí)間：2018-05-29 04:32

  本文選題：腦卒中 + 住所環(huán)境障礙　； 參考：《中國康復(fù)醫(yī)學(xué)雜志》2017年10期

【摘要】：目的:了解農(nóng)村腦卒中患者住所環(huán)境障礙狀況及其活動(dòng)與參與損傷程度,并探討影響患者活動(dòng)與參與的住所障礙因素。方法:橫斷面調(diào)查,入戶調(diào)查廣東省農(nóng)村地區(qū)的腦卒中患者。采用世界衛(wèi)生組織殘疾評(píng)定方案2.0測評(píng)患者活動(dòng)與參與,采用住所環(huán)境致跌危險(xiǎn)因素評(píng)估表測評(píng)住所環(huán)境障礙。采用描述性統(tǒng)計(jì)與等級(jí)logistic回歸分析資料。結(jié)果:共調(diào)查腦卒中后3個(gè)月以上患者818例�；颊咦∷h(huán)境改造率為6%。30項(xiàng)住所環(huán)境障礙中,18項(xiàng)的發(fā)生率超過20%,發(fā)生率最高的障礙為衛(wèi)生間無扶手(93%)。46%的患者活動(dòng)與參與損傷程度在嚴(yán)重及以上。3項(xiàng)住所障礙成為影響活動(dòng)與參與的獨(dú)立因素,分別是大門難以開啟(OR:2.39,95%CI:1.39—4.12,P=0.002)、地面易滑倒(OR:1.87,95%CI:1.13—3.09,P=0.014)、電燈開關(guān)難以觸及(OR:1.49,95%CI:1.07—2.08,P=0.018)。結(jié)論:農(nóng)村腦卒中患者住所內(nèi)普遍存在環(huán)境障礙,直接限制了患者的活動(dòng)與參與。去除或緩解住所障礙因素有助于提高患者的活動(dòng)與參與水平。
[Abstract]:Objective: to investigate the status of residence environmental disturbance and the degree of activity and participation injury in rural stroke patients, and to explore the factors that affect the activity and participation of patients with cerebral apoplexy. Methods: a cross-sectional survey was conducted to investigate stroke patients in rural areas of Guangdong province. Who Disability Assessment Program 2.0 was used to assess patients' activities and participation, and shelter environmental barriers were evaluated by the risk factors assessment form of shelter environment. Descriptive statistics and hierarchical logistic regression analysis were used. Results: 818 patients more than 3 months after stroke were investigated. The incidence of 18 out of 60.30 items of shelter environmental barriers was more than 20. The highest rate was 933.46% of the patients who had no handrails in the bathroom, and the degree of injury was severe and above. 3 items of shelter disorders became serious. Independent factors affecting activities and participation, It is difficult to open the door of OR 2.39 / 95, and the head of CIW 1.39-4.12 is about 0.002, and the ground is easy to slip to 1.87% 1.13-3.09% P0.014. It is difficult for the light switch to touch the OR1.49% 95 CIW 1.07-2.08P0.01818. Conclusion: environmental disturbance exists in the residence of stroke patients in rural areas, which directly restricts their activities and participation. Removing or alleviating barriers to shelter helps to improve patients' activity and participation.
【作者單位】： 中山大學(xué)護(hù)理學(xué)院;中山大學(xué)孫逸仙紀(jì)念醫(yī)院康復(fù)醫(yī)學(xué)科;華佗再造博愛基金會(huì);
【基金】：廣東省紅十字會(huì)奇星博愛中風(fēng)康復(fù)基金(20131217) 廣東省科技計(jì)劃項(xiàng)目(2013B09100009)
【分類號(hào)】：R743.3

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本文編號(hào)：1949503