廣州市天河區社區康復服務能力的調查研究

陳良華++劉剛

[摘要] 目的 調查廣州市天河區社區康復服務能力，為社區康復服務能力建設提供依據。 方法 選擇2016年9～11月天河區30個社區衛生服務中心發放問卷對社區康復醫務人員情況、康復設施設備、康復治療方法等服務能力進行調查，并抽樣調查社區康復治療腦卒中患者現狀。 結果 共收回25個社區衛生服務中心的完整調查相關資料，其中24家有社區康復服務內容，1家未有社區康復服務內容。25家社區衛生服務中心中，康復醫務人員共131名，其中康復醫師占51.91%，康復治療師占32.06%，康復護士占16.03%。擁有康復醫師中級和初級職稱的社區衛生服務中心分別占70.83%和83.33%，擁有高級職稱醫師的社區機構較少。大部分在社區工作的康復治療師為大專學歷的康復治療士，屬于初級以下職稱，擁有初級治療師職稱的機構僅為20.83%。各社區衛生服務中心均有物理治療、傳統康復治療項目，但開展言語吞咽治療的僅為4.17%。進行腦卒中康復科普宣傳教育的社區衛生服務中心占87.50%，行殘疾人再就業康復訓練的占29.17%。抽樣調查社區腦卒中患者19例，68.42%的患者自行在家中行康復訓練，僅57.89%到相關專業機構進行康復。 結論 目前廣州市天河區社區康復服務能力有一定基礎，但腦卒中患者在社區難以獲得較好的康復服務，社區需重視康復醫療建設，普及推廣康復意識，積極發展中西醫結合社區康復服務。

[關鍵詞] 社區康復；康復服務；腦卒中；天河區

[中圖分類號] R49 [文獻標識碼] A [文章編號] 1673-7210（2017）11（c）-0064-05

Investigation of the community rehabilitation service ability of Tianhe District in Guangzhou City

CHEN Lianghua LIU Gang

Department of Rehabilitation Medicine， the Third Affiliated Hospital of Southern Medical University， Guangdong Province， Guangzhou 510630， China

[Abstract] Objective To investigate the community rehabilitation service ability of Tianhe District in Guangzhou City， in order to provide the basis for community rehabilitation service ability construction. Methods 30 community health service centers were selected to investigate the medical personnel， rehabilitation facilities， and rehabilitation treatment methods from September to November 2016. A sample survey was also performed to investigate the current rehabilitation status of patients with stroke in these communities. Results Complete survey reports were obtained from 25 centers， of which only 1 center did not offer rehabilitation services. There were 131 cases of rehabilitation medical staffs， of which the rehabilitation physician accounting for 51.91%， rehabilitation therapists accounting for 32.06%， and rehabilitation nurses accounting for 16.03%. The surveyed community health service centers had rehabilitation physicians with intermediate and junior titles accounting for 70.83% and 83.33%， respectively. Fewer rehabilitation physicians had senior title. The titles of most rehabilitation physicians were junior titles below， accounting for 20.83% of the communities. All community health service centers had physical therapy and traditional rehabilitation programs. However， only 4.17% of speech-swallowing-therapy programs was carried out. Furthermore， 87.50% of information campaigns and education programs for stroke rehabilitation were carried out by community health service centers. Thus， only 29.17% of the rehabilitation training programs for the disabled was performed. 19 patients with stroke were selected by sampling survey， 68.42% continued rehabilitation training at home， and 57.89% were admitted to relevant professional institutions for rehabilitation. Conclusion At present， the community rehabilitation service ability has some foundation in Tianhe District of Guangzhou City， but it is difficult to obtain better rehabilitation services of stroke patients. Therefore， communities should provide attention to the establishment of community rehabilitation services， promote rehabilitation awareness， and develop traditional Chinese and Western medicine community rehabilitation services.endprint

[Key words] Community rehabilitation； Rehabilitation service； Stroke； Tianhe District

隨著社會經濟發展，人口老齡化進程加快，慢性病人數逐漸增多，殘疾人口不斷攀升，康復需求不斷擴大[1]。……