摘要
目的:脑卒中高龄患者多种高危危险因素并存,就其康复干预过程存在诸多影响因素和特点及注意事项进行探讨。方法:系统分析1例康复干预显著滞后(病后59d)脑卒中高龄患者的临床资料及康复干预过程。结果:提出综合应用功能重建、支持、姑息和预防原则,制定更加积极、动态的脑卒中高龄患者整体康复目标,以及检验这些目标是否达到的SMART(Specific,Measurable,Achievable,Relevant,Time-limited)原则。结论:早期康复的效果是肯定的,但在具体实施上还受到经济、文化、社会背景和健康观念以及患者、家属、医生和医疗政策等诸多因素影响。多学科或跨学科康复团队工作模式是脑卒中高龄患者医院早期康复必不可少的基础。
AIM:There are multiple risk factors co-existing in aging patients with acute cerebral stroke.This study aimed to explore the influencing factors,characteristics and announcements during rehabilitative intervention. METHODS:The clinical data and the procedures of rehabilitative intervention of an aging stroke patient,whose rehabilitative intervention was delayed significantly, were analyzed. RESULTS:The principles of restoration, support,palliation and prevention for comprehensive functions were raised to set up an more active and dynamical comprehensive rehabilitative goals for aging patients with acute cerebral stroke,so as to verify whether the principles of SMART(Specific,Measurable,Achievable,Relevant,Time-limited) had been achieved during the rehabilitation therapy period. CONCLUSION:Early rehabilitation has positive effect on the aging patients with acute cerebral stroke,but it is still affected by a lot of factors during the clinical procedure,such as economics,culture,social background,healthy ideas and patients,relatives,doctor and medical policies.The multidisciplinary or interdisciplinary of teamwork rehabilitation model is essential in the rehabilitation of aging stroke patients.
出处
《中国临床康复》
CSCD
2004年第25期5226-5227,共2页
Chinese Journal of Clinical Rehabilitation
