The rehabilitative effects on stroke patients of hospital at home under remote guidance
1.Department of Medcine, the Fourth People’s Hospital of Wenling, Taizhou, 317511; 2.Department of Emergency, the Central Hospital of Taizhou, Taizhou, 317700; 3.Center of Neurology and Rehabilitation, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027; 4.Department of Neurology, the First People’s Hospital of Wenling, Taizhou, 317511
HUANG Guanfeng,ZHU Haiyong,WANG Xiaotong, et al. The rehabilitative effects on stroke patients of hospital at home under remote guidance[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(5): 383-.
Abstract：Objective: To evaluate the physical and psychological rehabilitative effects on stroke patients in hospital at home service under remote guidance. Methods: Sixty patients were randomly divided into remote guidance group (RG) or normal hospital at home group (NH). The RG patients recieved a termly remote guidance from the physicians after discharge, including medical care, rehabilitation training and psychological counseling. The physical and psychological rehabilitative effects were evaluated by MBI (modified barther index), FMI (fugl-meyer assessment scale), BBA (berg balance scale), HAMA (hamilton anxiety scale) and HAMD (hamilton depression scale) scales after 6 months therapy, and by satisfaction survey after 14 days. Results: The RG group manifested better results of the MBI, FMI, BBA, HAMA and HAMD scales results (P<0.05). Patients in NH group reflected dissatisfaction of night care and information acquisition, they feel more insecurity at night (P<0.05). Conculsion: Hospital at home service under remote guidance has better effect in physical and mental rehabilitation on the stroke patients. New network technology as a medical aid guide is worth popularizing.
