社区卒中后残疾危险因素模型构建及支持性干预与健康管理模式研究

项目名称： 社区卒中后残疾危险因素模型构建及支持性干预与健康管理模式研究

项目编号： No.71303072

项目类型： 青年科学基金项目

立项/批准年度： 2014

项目学科： 管理科学

项目作者： 吕雨梅

作者单位： 哈尔滨医科大学

项目金额： 20万元

中文摘要： 脑卒中为常见慢性病，发病率为（73-223）/10万人口。约3/4幸存者患有不同程度残疾，其中重度致残者高达40%。卒中后残疾严重影响日常生活自理（ADL）能力，降低生活质量。因此，本研究以社区脑卒中患者为研究对象，采用定量和定性相结合的研究方法，评估社区卒中后残疾的危险因素，分析各因素间的相互作用路径，建立卒中后残疾危险因素结构方程模型。针对危险因素，有效利用社区资源创建"四维四层三形式"健康管理平台；建立融预防、康复及健康教育于一体的支持性（PRE）干预模式。以"降低残疾率、减轻残疾程度、提高ADL能力、增强社会功能"为管理目标，以卒中后残疾患者为干预对象，以PRE干预为核心，依托健康管理平台构建科学有效、简便经济的支持性干预与健康管理模式；运用社区干预试验研究验证该模式的有效性，为管理目标的实现与卫生管理政策制定提供参考；也可使社区卫生资源的分配和利用更加合理有效。

中文关键词： 脑卒中；残疾；结构方程模型；支持性干预；健康管理

英文摘要： As a common chronic disease, stroke has a high incidence of 73-223 cases in every 100,000 population. Roughly 3/4 of the survivors are remained with a disability of different levels, of which cases of the severe level accounts for 40%.The existence of stroke-related disability will largely affect the patients' activities of daily living (ADL) and lower the quality of life. This research will mix quantitative and qualitative methods and choose stroke patients in communities as participants. This research is to evaluate risk factors for post-stroke patients with disability in communities and analyze interaction path among the factors to establish risk factors structural equation model for post-stroke patients with disability in communities. Based on the above, we attempt to build a health management platform effectively using community resources and establish PRE supportive intervention model integrating prevention, rehabilitation and health education. The aim of management is to reduce disability rate, to alleviate disability level, to increase ADL, to enhance social function. Post stroke patients with disability are considered as chief research targets. In this research the development of easy economic scientific and effective supportive intervention and health management model depends on the above health manage

英文关键词： stroke；disability；structural equation model；supportive intervention；health management