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지역사회-기반 뇌졸중 재활의 적용 : 문헌 고찰

원문정보

Application of Community-based Stroke Rehabilitation : A Literature Review

오덕원

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초록

영어

After a stroke, sensory-motor damage, cognitive impairments, and emotional problems can significantly impact an individual's level of functioning. These issues often persist for an extended period, necessitating long-term care for patients with stroke. Although some recovery may occur through acute management in the hospital, functional limitations may still remain. Therefore, it is crucial to implement community-based management even after the patient is discharged from the hospital. Professional rehabilitation within the community has been shown to aid in restoring independence and improving the performance of daily activities, thus enhancing functional recovery for patients with stroke. Stroke rehabilitation experts play a vital role in promoting functional activities as integral members of the community-based stroke rehabilitation (CBSR) services. To achieve this, an optimal treatment program should be established based on knowledge and evidence of the components and application models of the CBSR services. The CBSR services have proven effective in restoring function and providing healthcare for patients with stroke, helping to reduce the burden on both patients and caregivers, as well as lower overall medical costs. The successful implementation of the CBSR relies on providing flexible, patient-tailored services that are cost-effective and adhere to evidence-based stroke rehabilitation guidelines. Addressing challenges related to the CBSR application can be accomplished through further research, focusing on essential factors required to deliver evidence-based treatment in real-world settings. To ensure the application of optimal the CBSR services, additional studies should be conducted to determine the appropriate intensity and duration of professional stroke treatment in the community.

목차

Abstract
Ⅰ. 서론
Ⅱ. 본론
1. 지역사회-기반 뇌졸중 재활(community-based stroke rehabilitation)의 필요성
2. 환자-중심 재활의 적용
3. 조기퇴원지지(early supported discharge, ESD)
4. 가정-기반 재활 서비스의 활용
5. CBSR에서 필요한 임상 중재
6. CBSR 서비스의 구성
7. CBSR 관련 임상의사결정 시 고려사항
8. CBSR에서 환경적 영향
9. CBSR 적용 모델
10. CBSR의 효과
Ⅲ. 고찰
Ⅳ. 결론
인용문헌

저자정보

  • 오덕원 Duck-won Oh. 청주대학교 보건의료과학대학 물리치료학과

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