Francois Silke, Van Casteren Viviane, Vanthomme Katrien, Borgermans Liesbeth, Devroey Dirk
Department of Family Medicine and Chronic Care, University of Brussels.
Department of Public Health and Surveillance, Scientific Institute of Public Health , Brussels, Belgium.
Neurol Int. 2017 Jan 5;8(4):5846. doi: 10.4081/ni.2016.5846. eCollection 2016 Nov 2.
This study examines which therapists are involved in the rehabilitation of stroke survivors in Belgium at different points in time. A nationwide registration of stroke patients was provided by 199 and 189 family physicians working in sentinel practices for the years 2009 and 2010 respectively. 326 patients who were diagnosed with stroke were included. Patients with paralysis/paresis received significant more physiotherapy after one month (63%) compared to non-paralysed patients (38%) (P = 0.005). Residing in a nursing home was associated with higher proportions of patients receiving physiotherapy, both after one (P = 0.003) and six (P = 0.002) months. 31% of patients with aphasia were treated by a speech and language therapist after one month, which decreased after six months to 20%. After six months, the patients in a nursing home received significant more often speech and language therapy (P = 0.004), compared to patients living at home. The proportion of patients receiving stroke rehabilitation services provided by physiotherapists, speech/language therapists and occupational therapists is rather low, especially 6 months after the critical event.
本研究调查了比利时不同时间点参与中风幸存者康复治疗的治疗师情况。分别由199名和189名在哨点诊所工作的家庭医生提供了2009年和2010年全国中风患者登记信息。共纳入326例被诊断为中风的患者。与无瘫痪患者（38%）相比，瘫痪/轻瘫患者在1个月后接受物理治疗的比例显著更高（63%）（P = 0.005）。入住疗养院的患者在1个月（P = 0.003）和6个月（P = 0.002）后接受物理治疗的比例更高。1个月后，31%的失语症患者接受了言语和语言治疗师的治疗，6个月后降至20%。6个月后，与居家患者相比，入住疗养院的患者接受言语和语言治疗的频率显著更高（P = 0.004）。由物理治疗师、言语/语言治疗师和职业治疗师提供的中风康复服务的患者比例相当低，尤其是在关键事件发生6个月后。
