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中国初级卫生保健:2020,34(11):100-103
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社区骨骼肌肉系统疾病分级康复准入及准出标准研究
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中文摘要: 目的 构建上海市社区骨骼肌肉系统疾病康复对象准入准出标准,以指导分级康复的开展。方法 于2018年8月通过小组会议确认常见病种及评价指标;于2018年10月—2019年5月通过10位康复医院康复专家、社区卫生服务中心康复医师、家庭医生代表等的咨询,获得各病种分级康复准入准出标准。结果 颈椎病、肩撞击综合征及肩关节周围炎、软组织损伤仅有康复医院康复和社区门诊康复,骨折、骨关节炎、人工关节置换术后、腰椎间盘突出有社区病房康复和居家病床康复。分级康复准入准出标准依据运动能力、疼痛、家庭照护能力、家庭经济条件、患者意愿和病情变化设立。结论 所研制的社区骨骼肌肉系统疾病康复分级康复标准,可为社区相关分级康复实践提供参考。
Abstract:OBJECTIVE To construct the admittance and exit criteria of rehabilitation service objects for skeletal and muscle system diseases in Shanghai community, so as to guide the grading rehabilitation. METHODS In August 2018, through a group meeting, the rehabilitation diseases of skeletal muscle system diseases in the community and the rehabilitation evaluation indexes were confirmed. From October 2018 to May 2019, through expert consultation of 10 rehabilitation hospital rehabilitation experts, community health service center rehabilitation physicians and family doctors, the admittance and exit criteria of rehabilitation service objects was obtained. RESULTS Cervical spondylosis, shoulder impingement syndrome, periarthritis of shoulder and soft tissue injury could only receive rehabilitation hospital rehabilitation and community outpatient rehabilitation, while fractures, osteoarthritis, artificial joint replacement, lumbar disc herniation could receive community ward rehabilitation and home bed rehabilitation except those treatment. The admittance and exit criteria of skeletal muscle system diseases grading rehabilitation were made according to exercise ability, pain, family care ability, family economic conditions, patient's wishes and change of condition. CONCLUSION The developed rehabilitation standards for the rehabilitation of skeletal and muscular system diseases in communities could provide references for grading community-based rehabilitation practice.
文章编号:3202003048     中图分类号:R197    文献标志码:
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