Journal articles on the topic 'Patients Rehabilitation China'
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Cen, Ying, Jiake Chai, Huade Chen, Jian Chen, Guanghua Guo, Chunmao Han, Dahai Hu, et al. "Guidelines for burn rehabilitation in China." Burns & Trauma 3 (October 21, 2015): 1–10. http://dx.doi.org/10.1186/s41038-015-0019-3.
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Abstract Quality of life and functional recovery after burn injury is the final goal of burn care, especially as most of burn patients survive the injury due to advanced medical science. However, dysfunction, disfigurement, contractures, psychological problems and other discomforts due to burns and the consequent scars are common, and physical therapy and occupational therapy provide alternative treatments for these problems of burn patients. This guideline, organized by the Chinese Burn Association and Chinese Association of Burn Surgeons aims to emphasize the importance of team work in burn care and provide a brief introduction of the outlines of physical and occupational therapies during burn treatment, which is suitable for the current medical circumstances of China. It can be used as the start of the tools for burn rehabilitation.
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Bettger, Janet Prvu, Zixiao Li, Ying Xian, Liping Liu, Xingquan Zhao, Hao Li, Chunxue Wang, et al. "Assessment and provision of rehabilitation among patients hospitalized with acute ischemic stroke in China: Findings from the China National Stroke Registry II." International Journal of Stroke 12, no. 3 (April 2017): 254–63. http://dx.doi.org/10.1177/1747493017701945.
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Background Stroke rehabilitation improves functional recovery among stroke patients. However, little is known about clinical practice in China regarding the assessment and provision of rehabilitation among patients with acute ischemic stroke. Aims We examined the frequency and determinants of an assessment for rehabilitation among acute ischemic stroke patients from the China National Stroke Registry II. Methods Data for 19,294 acute ischemic stroke patients admitted to 219 hospitals from June 2012 to January 2013 were analyzed. The multivariable logistic regression model with the generalized estimating equation method accounting for in-hospital clustering was used to identify patient and hospital factors associated with having a rehabilitation assessment during the acute hospitalization. Results Among 19,294 acute ischemic stroke patients, 11,451 (59.4%) were assessed for rehabilitation. Rates of rehabilitation assessment varied among 219 hospitals (IQR 41.4% vs 81.5%). In the multivariable analysis, factors associated with increased likelihood of a rehabilitation assessment ( p < 0.05) included disability prior to stroke, higher NIHSS on admission, receipt of a dysphagia screen, deep venous thrombosis prophylaxis, carotid vessel imaging, longer length of stay, and treatment at a hospital with a higher number of hospital beds (per 100 units). In contrast, patients with a history of atrial fibrillation and hospitals with higher number of annual stroke discharges (per 100 patients) were less likely to receive rehabilitation assessment during the acute stroke hospitalization. Conclusions Rehabilitation assessment among acute ischemic stroke patients was suboptimal in China. Rates varied considerably among hospitals and support the need to improve adherence to recommended care for stroke survivors.
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Zhou, Bo, Jing Zhang, Yi Zhao, Xian Li, Craig S. Anderson, Bin Xie, Ninghua Wang, et al. "Caregiver-Delivered Stroke Rehabilitation in Rural China." Stroke 50, no. 7 (July 2019): 1825–30. http://dx.doi.org/10.1161/strokeaha.118.021558.
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Background and Purpose— Stroke disability is a major health burden in rural China where rehabilitation services are inadequate. We aimed to determine the effectiveness of a novel nurse-led, caregiver-delivered model of stroke rehabilitation in rural China. Methods— A multicenter prospective, randomized open, blinded outcome assessed, controlled trial was conducted in 3 rural county hospitals in China: Zhangwu, Liaoning Province (Northeast); Qingtongxia, Ningxia Hui Autonomous Region (Northwest); and Dianjiang, Chongqing Municipality (Southwest). Adult patients (age 18–79 years) with residual disability (Barthel Index score ≤80/100) after a recent acute stroke were randomized to a new service model or usual care. The new intervention was multifaceted and was based on a task-shifting / training-the-trainers model, supported by a custom-designed smartphone application, where patients and caregivers received evidence-based in-hospital education and stroke rehabilitation training (focus on mobility, self-care, and toileting), delivered by trained nurses before hospital discharge, and 3 postdischarge support telephone calls. Outcome assessments were undertaken before hospital discharge and at 3 and 6 months. Primary outcome was physical functioning (Barthel Index scores) at 6 months, assessed by research staff blind to treatment allocation, adjusted for baseline covariates in an intention-to-treat analysis. Secondary outcomes included measures of mobility, health-related quality of life, mood, and caregiver burden. The study included a process evaluation that assessed intervention fidelity. Results— From November 2014 to December 2016, 246 stroke patients were randomized to intervention (n=118) or control (n=128) groups. There was no statistically significant difference in adjusted 6-month Barthel Index scores between groups (70.1 versus 74.1, mean difference, −4.0 [95% CI, −10.0 to 2.9]), nor any differences across the other outcome measures. Process evaluation interviews revealed that the intervention was desirable and positively accepted by nurses, caregivers, and patients but was considered too complex despite efforts to simplify materials for the rural context. Key strategies identified for future studies included the use of community health workers, smartphone application enhancement, and simpler and more frequent training for nurses, caregivers, and patients. Conclusions— A novel nurse-led, digital supported, caregiver-delivered stroke rehabilitation program did not improve patient physical functioning after stroke in rural China. Further stroke rehabilitation research suitable for resource-poor settings is required, with several components being suggested through stakeholder interviews in our study. Clinical Trial Registration— URL: https://www.clinicaltrials.gov . Unique identifier: NCT02247921.
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Jin, Zhou, Fang Li, Peng Xiaodong, Peng Jingjing, Jiang Shasha, He Lang, Wang Xiaoshan, et al. "A survey of cancer patients’ rehabilitation therapy needs in Southwest China." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18003-e18003. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18003.
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e18003 Background: Medical advance in the recent decades has turned cancer into a chronic disease. At the same time, quality of life (LoF) during the treatment period has emerged as a new concern of cancer patients. Rehabilitation therapy, which can help patients conquer fear and be more engaged in the process, has gradually attracted more attentions in China. We designed a survey, for both the cancer patients and their families, to understand their view of the rehabilitation therapy. Methods: We sent paper-based surveys to volunteers consisted of cancer patients and their families. Majority of patients are from 10 cancer centers at the southwest region of China. The main cancer types are lung cancer, breast cancer and colon cancer. The survey questions focus on: patients and their families’ engagement of the treatment, their view on rehabilitation therapy, and their method preference for the rehabilitation therapy. Results: We sent 2,000 copies of the survey and received 1,920 valid inputs. Below are the key findings. 1. Their biggest concern: the outcome of the treatment 55.8%, side effects 19.7%, financial burden 12.8% and mental stress 11.5%. 2. The importance of the rehabilitation therapy as compared to traditional medical treatment, such as surgery and chemotherapy: equally important 67.8%, less important 17.7%, more important 10.1%, no preference 4.4%. 3. The necessity of rehabilitation therapy: very necessary 65.7%, somewhat necessary 22.7%, not necessary 11.6%. 4. The first three reasons for participating rehabilitation therapy: it helped go through the treatment 42.8%, it improved quality of life 31.6% and it helped release their mental stress 22.3%. 5. The best form to conduct rehabilitation therapy: face-to-face communicate with the doctors 60.6%, telecommunication 15.8% and combination of both 22.1%. Conclusions: The results of the survey strongly indicate the demands for rehabilitation therapy. Patients started to understand it – more than half of them think it is as important as the traditional medical treatment. Patients’ quality of life and mental health, which is part of the holistic treatment, are gradually recognized. Next, we plan to group our survey results by types of cancers, patients and their families’ genders and age, as well as the local economics, to better understand the data. We hope this study can serve as a data point to help build China’s rehabilitation therapy infrastructure.
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Cui, Wei, Ting Ouyang, Ye Qiu, and Di Cui. "Literature Review of the Implications of Exercise Rehabilitation Strategies for SARS Patients on the Recovery of COVID-19 Patients." Healthcare 9, no. 5 (May 18, 2021): 590. http://dx.doi.org/10.3390/healthcare9050590.
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As a global pandemic, COVID-19 shows no sign of letting up. With the control of the epidemic in China, the proportion of patients with severe and critical diseases being cured and discharged from hospital has increased, and the recovery of COVID-19 patients has become an important issue that urgently needs attention and solutions. By summarizing the exercise rehabilitation strategies and progress of SARS in 2003, this paper analyzed the differences in clinical indicators and recovery characteristics of severe pneumonia caused by the two viruses, and provided comprehensive exercise guidance and intervention strategies for COVID-19 patients for rehabilitation and nursing by referring to the problems and treatment strategies in the rehabilitation and nursing work of SARS. In the post-epidemic period, China will build a multi-dimensional epidemic prevention system by improving the effectiveness of mass training and strengthening local risk prevention and control. This paper discusses the exercise rehabilitation strategy of SARS patients after recovery, which has guiding significance for exercise intervention and scientific fitness of COVID-19 patients after recovery during epidemic prevention period.
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Pearson, Veronica, and Michael R. Phillips. "The Social Context of Psychiatric Rehabilitation in China." British Journal of Psychiatry 165, S24 (August 1994): 11–18. http://dx.doi.org/10.1192/s0007125000292921.
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A Western psychiatrist visiting a ward, out-patient department, or sheltered workshop in China would find much that was familiar, not only in terms of clinical syndromes and medication usage but also in the paucity of resources, problems with administrative hierarchies, and lack of status accorded by medical colleagues to psychiatry. Chinese psychiatric patients able to converse with their Western counterparts would discover that they shared much of the experience in common: stigma, problems with employment, and difficulties in finding a marital partner. Patients' relatives from East and West, likewise, would be able to recite a litany of similar concerns and complaints: the need for guidance and advice in handling disturbed behaviour at home, the gossip of neighbours, and the fear of another relapse.
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Zhang, Tong, Jun Zhao, Xueping Li, Yulong Bai, Baojun Wang, Yun Qu, Bingjie Li, and Shengjie Zhao. "Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders: executive summary and 2019 update of clinical management of stroke rehabilitation." Stroke and Vascular Neurology 5, no. 3 (June 28, 2020): 250–59. http://dx.doi.org/10.1136/svn-2019-000321.
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Stroke is the third leading cause of long-term disability. Effective stroke rehabilitation should be provided to patients with a moderate or severe stroke so as to achieve functional recovery. Also, stroke rehabilitation is moving towards more intense therapy models that incorporate technologies such as robotics and computer games. Evidence-based guidelines are useful for promoting the best possible clinical practices. This guideline summarises the modes of stroke rehabilitation in China—three-stage rehabilitation network, rehabilitation of stroke dysfunction, training for activities of daily living, stroke complications and rehabilitation care. The aim of this guideline was to provide a synopsis of best clinical practices in the stroke rehabilitation of adult patients in China.
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Wong, Simon K. M., and Cecilia W. P. Li-Tsang. "Development of Hand Rehabilitation in Mainland China." Hong Kong Journal of Occupational Therapy 20, no. 1 (June 2010): 19–24. http://dx.doi.org/10.1016/s1569-18611070054-1.
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Hand rehabilitation has been a major area of practice for occupational therapists in Hong Kong when the profession first emerged in the early 1970s. It was a time when the economy of Hong Kong relied heavily on small industries and assembly work mainly for export to western countries. Due to lack of awareness of occupational health and safety, most of the workers were injured at work while operating on machines without protective guard. Occupational therapists were trained to handle a huge volume of workers with hand trauma with the goal of helping them maximize hand function so that they could return to the work force. Similar situation occurs in Mainland China nowadays, particularly in the Southern part of the Mainland where industries and factories are densely built to support the industrialization. This paper attempts to review the development of hand rehabilitation postsurgery and to discuss the current assets and challenges in meeting the needs of patients with hand injuries in Mainland China.
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Song, Yanxin, Chuan Ren, Ping Liu, Liyuan Tao, Wei Zhao, and Wei Gao. "Effect of Smartphone-Based Telemonitored Exercise Rehabilitation among Patients with Coronary Heart Disease." Journal of Cardiovascular Translational Research 13, no. 4 (December 9, 2019): 659–67. http://dx.doi.org/10.1007/s12265-019-09938-6.
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AbstractThe aim of this study was to investigate the effects of telemonitored exercise rehabilitation on patients with coronary heart disease (CHD) in China. Ninety-six patients with stable CHD were included and analyzed (48 in telemonitored group and 48 in control group). All patients received routine follow-up, and patients in telemonitored group participated in smartphone-based telemonitored cardiac rehabilitation. Patients’ demographic information, medical history, diagnosis and treatment of CHD, and laboratory results were collected. The difference of cardiopulmonary exercise testing (CPET), blood test, and echocardiographic parameters; exercise habits; control rate of blood lipid and blood glucose; and incidence of adverse events between the two groups during 6 months of follow-up was analyzed. After intervention, the subjects in the telemonitored group performed significantly better in VO2peak, exercise compliance, and some other parameters than those in the control group. Telemonitored exercise rehabilitation is an effective rehabilitation mode for CHD patients in China.
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Sevigny, Robert. "Social Welfare Policy: Social Rehabilitation of Psychiatric Patients in Urban china." International Journal of Social Psychiatry 50, no. 3 (September 2004): 241–61. http://dx.doi.org/10.1177/0020764004043139.
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Yu, X. X., A. A. Shmonin, E. V. Verbitskaya, E. A. Bondareva, J. Zhou, and E. V. Melnikova. "Research of the factors that determine the rehabilitation potential and satisfaction of the medical care of patients with acute stroke in China and Russia." Regional blood circulation and microcirculation 15, no. 4 (December 30, 2016): 82–88. http://dx.doi.org/10.24884/1682-6655-2016-15-4-82-88.
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This study examined the factors that determine the recovery of the patient after an acute cerebrovascular accident, and satisfaction with medical care and rehabilitation in the Russian Federation and Republic of China. We interviewed 522 patients in Stroke units in Russian and China. We analyzed personal patient factors, quality of life (EQ-5D), social and economic factors, the characteristics of the treatment and rehabilitation of the patient and staff attitude to the rehabilitation process. Logistic regression with ROC-analysis was used. Results. Quality of life in patients with a stroke depends on the country where the patient is receiving treatment and rehabilitation (higher in Russia than in China). The more time a patient spends in the hospital leads to the low quality of life. Having diabetes reduces the quality of life. In Russia, a good recovery and rehabilitation high potential contributes to the presence of the total family income of patient 40-60 000 rub per month, and the highest value on the Rankin scale, but a high value on NIHSS and RI on admission reduces a good recovery after a stroke. A lot of money for rehabilitation and treatment of patients with stroke lead to good patient recovery. Conclusion. Rehabilitation of stroke patients will be more effective if patient has a significantly limited ability to live, but has not high severity of the stroke and immobility problem then other factors such environment and psychological factors plays key role.
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Tang, Dan, Cecilia W. P. Li-Tsang, Ricky K. C. Au, Kui-cheng Li, Xian-feng Yi, Lin-rong Liao, Hai-yan Cao, Ya-nan Feng, and Chuan-shun Liu. "Functional Outcomes of Burn Patients with or without Rehabilitation in Mainland China." Hong Kong Journal of Occupational Therapy 26, no. 1 (December 2015): 15–23. http://dx.doi.org/10.1016/j.hkjot.2015.08.003.
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Fan, Zhanhuai, Jingkang Huang, Qihui Wu, and Shaxi Jiang. "Comparison of Standard Locked-Ward Treatment Versus Open-Ward Rehabilitation Treatment for Chronic Schizophrenic Patients." British Journal of Psychiatry 165, S24 (August 1994): 45–51. http://dx.doi.org/10.1192/s0007125000292970.
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A priority for psychiatric rehabilitation workers in China is to develop less-restrictive methods for managing the estimated 2500 chronically institutionalised patients who are symptomatically stable and have adequate psychosocial functioning but have no family members who are able or willing to take them home. We transferred 45 chronic schizophrenic male in-patients to an open-door rehabilitation ward where they were given as much freedom as possible and encouraged to take part in occupational, social, and recreational activities. The Nurses Observation Scale for Inpatient Evaluation (NOSIE) was used to compare the psychosocial functioning of the 43 patients who completed the year-long trial with that of 43 similar patients who received standard in-patient treatment on a locked ward. Over the year, the experimental group showed a significant improvement in overall functioning, whereas the control group showed no improvement. These findings suggest that open-door rehabilitation wards situated within the hospital can mobilise latent psychosocial functioning and may be a good method for re-introducing chronic schizophrenic patients in China back into the community.
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Li, Gongan, Xiong Hu, Dezhen Jin, Weicai Tian, and Michael R. Phillips. "A Rating Instrument for the Evaluation of In-Patient Rehabilitation Programmes in China." British Journal of Psychiatry 165, S24 (August 1994): 58–65. http://dx.doi.org/10.1192/s0007125000292994.
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To objectively evaluate in-patient rehabilitation programmes in China, we developed a new rating scale: the Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS). The scale has five subscales: performance in occupational therapy, daily activities, socialisation, personal hygiene, and level of interest in external events. Evaluators (physicians or nurses) observe patients for one week before coding items on a five-point scale. Comparison of four independent evaluators' results for 32 schizophrenic patients assessed on two separate occasions indicated that the inter-rater and test-retest reliability for the overall IPROS score and for the five subscale scores was excellent (all ICC values ≥0.973). Validity was evaluated by comparing IPROS results with those of five other independently assessed clinical measures for 101 chronic schizophrenic patients before and after a six-month rehabilitation programme; concurrent validity and longitudinal validity were satisfactory (correlation coefficients 0.37–0.81, all P values <0.01).
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Rahman, Md Shahidur. "Rehabilitation of COVID 19 Patients, Bangladesh Perspective." Journal of Bangladesh College of Physicians and Surgeons 40, no. 1 (January 3, 2022): 52–56. http://dx.doi.org/10.3329/jbcps.v40i1.57059.
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The global outbreak of COVID 19 has created an unprecedented challenge to the society. America, Europe and India were catastrophic sufferers from this virus next to China. They had highest number of daily morbidity and mortality in the global context. Bangladesh is facing terrible experiences of dealing with this pandemic and making a tremendous turmoil in health and economic sector. Our healthcare system is overburdened with critically ill patients. Disability arising out of neurological, pulmonary, neuromuscular, and cognitive complications, need to be addressed by rehabilitation professionals. Many patients presenting with COVID-19 will have no specific airway clearance needs.There have been no reports of COVID-19 positive patients having high secretion loads that would require intensive chest physiotherapy or postural drainage. In Bangladesh in ICU settings physiatrist or physiotherapists are not directly involve in respiratory care management. In mild to moderate cases advice about a post-acute care breathing exercises, other musculoskeletal exercises, bed positioning and pressure sore care are helpful. In Bangladesh medical care facilities are not adequate in corona care hospitals especially in peripheral medical college or hospital. Many patients are dying of shortage in oxygen supplies and lack of availability of ICU. Post discharged plans of comprehensive rehabilitation are grossly neglected in discharged certificate. Our national guidelines on corona management do not have any instructions on rehabilitation management at any point. The objectives of this fast review article on corona pandemic are to highlight the global scenario and our limitations in the rehabilitation management of COVID 19 patients particularly post discharged patients and patients with long COVID complications. J Bangladesh Coll Phys Surg 2022; 40: 52-56
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Lv, Dawei. "A Meta-Analysis of the Effect of Exercise Rehabilitation Care on Cardiac Function in Patients with Chronic Heart Failure." Contrast Media & Molecular Imaging 2022 (July 4, 2022): 1–8. http://dx.doi.org/10.1155/2022/2507680.
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Aims. Effect of systematic exercise rehabilitation nursing on patients with chronic heart failure. Materials and Methods. From January 1, 2021, to March 22, 2006, a comprehensive search was conducted on China Knowledge Network (CNKI), Wanfang, VIPERS (VIP), China Biomedical Literature Database (CBM), PubMed, Cochrane Library, EMBASE library database, and clinical registry to obtain the literature on the impact of exercise rehabilitation nursing on cardiac function of patients with chronic heart failure. From January 1, 2006, to March 22, 2021, the literature of randomized controlled trials (RCTs) on the effect of exercise rehabilitation nursing on cardiac function in patients with chronic heart failure was collected. According to the inclusion and exclusion criteria, literature screening, data extraction, and quality evaluation were carried out. Cochrane system assessor manual version 5.0 was used for quality assessment, and Review Manager Version 5.3 was used for meta-analysis. Results. A total of 9 articles were included, including 752 patients. Meta-analysis showed that exercise rehabilitation nursing had a significant effect on cardiac function indexes (LVESV, LVEF, CRP, BNP, and LVEDV) in patients with chronic heart failure P < 0.05 . Conclusion. Exercise rehabilitation nursing has a good effect on improving cardiac function in patients with chronic heart failure. It can improve cardiac function indexes such as left ventricular end-systolic volume, right ventricular ejection fraction, brain natriuretic peptide, and left ventricular end-diastolic volume in patients with chronic heart failure.
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Li, Jian, Diansheng Chen, Chunjing Tao, and Hui Li. "Synthesis and experiment of a lower limb exoskeleton rehabilitation robot." Industrial Robot: An International Journal 44, no. 3 (May 15, 2017): 264–74. http://dx.doi.org/10.1108/ir-10-2016-0255.
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Purpose Many studies have shown that rehabilitation robots are crucial for lower limb dysfunction, but application of many robotics have yet to be seen to actual use in China. This study aimed to improve a lower limb rehabilitation robot by details improving and practical design. Design/methodology/approach Structures and control system of a lower limb rehabilitation robot are improved in detail, including joint calculations, comfort analysis and feedback logic creation, and prototype experiments on healthy individuals and patients are conducted in a hospital. Findings All participating subjects did not experience any problems. The experiment shows detail improving is reasonable, and feasibility of the robot was confirmed, which has potential for overcoming difficulties and problems in practical application. Research limitations/implications Therapeutic effects need to be evaluated in the future. Also, more details should be improved continuously based on the actual demand. Originality/value The improved robot could assist the lower limb during standing or walking, which has significance for practical application and patients in China.
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Tang, Dan, Cecilia W. P. Li-Tsang, Ricky K. C. Au, Xia Shen, Kui-cheng Li, Xian-feng Yi, Lin-rong Liao, Hai-yan Cao, Ya-nan Feng, and Chuan-shun Liu. "Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China." Burns & Trauma 4 (November 4, 2016): 1–11. http://dx.doi.org/10.1186/s41038-016-0058-4.
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Abstract Background Burn injury may be associated with long-term rehabilitation and disability, while research studies on the functional performance after injuries, quality of life (QOL), and abilities to return to work of burn patients are limited. These outcomes are related not just to the degree and nature of injuries, but also to the socio-economical background of the society. This study aimed to identify the factors which might affect burn patients’ abilities to reintegrate back to the society based on a sample in mainland China. Methods A retrospective study was conducted to collect data of demographic characteristics, medical data about burn injuries, physical and psychological status, and self-perceived QOL at the initial phase and upon discharge from a rehabilitation hospital, timing of rehabilitation, and duration of rehabilitation intervention. Four hundred fifteen patients with burn injuries were recruited in the study. Multiple linear regression and logistic regression were used to obtain a model to predict the functional abilities and the perceived QOL at discharge and their changes during rehabilitation, as well as the post-injury work status within 6 months after discharge. Results The functional performance at discharge and its change were significantly predicted by the functional abilities and QOL at the admission, duration of treatment, timing of rehabilitation, payer source, and total body surface area burned. The perceived QOL at discharge and its change were significantly predicted by the baseline QOL at admission and duration of treatment. The significant predictors of work status within 6 months post-discharge included age, education, payer source, total body surface area burned, perceived QOL, and bodily pain at admission. Conclusions The present study identified a number of factors affecting the rehabilitation outcomes of people with burn injuries. Identification of these predictors may help clinicians assess the rehabilitation potential of burn survivors and assist in resource allocation. Policy makers should ensure that resources are adequate to improve the outcomes based on these factors.
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Chen, Lu, Janet Wing-Hung Sit, and Xiaofang Shen. "Quasi-experimental evaluation of a home care model for patients with stroke in China." Disability and Rehabilitation 38, no. 23 (January 29, 2016): 2271–76. http://dx.doi.org/10.3109/09638288.2015.1123305.
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Li, Jian, Diansheng Chen, and Yubo Fan. "An Open-Structure Treadmill Gait Trainer: From Research to Application." Journal of Healthcare Engineering 2017 (2017): 1–12. http://dx.doi.org/10.1155/2017/9053630.
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Lower limb rehabilitation robots are designed to enhance gait function in individuals with motor impairments. Although numerous rehabilitation robots have been developed, only few of these robots have been used in practical health care, particularly in China. The objective of this study is to construct a lower limb rehabilitation robot and bridge the gap between research and application. Open structure to facilitate practical application was created for the whole robot. Three typical movement patterns of a single leg were adopted in designing the exoskeletons, and force models for patient training were established and analyzed under three different conditions, respectively, and then a control system and security strategy were introduced. After establishing the robot, a preliminary experiment on the actual use of a prototype by patients was conducted to validate the functionality of the robot. The experiment showed that different patients and stages displayed different performances, and results on the trend variations across patients and across stages confirmed the validity of the robot and suggested that the design may lead to a system that could be successful in the treatment of patients with walking disorders in China. Furthermore, this study could provide a reference for a similar application design.
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Zhu, Y., X. Li, and M. Zhao. "Promotion of Mental Health Rehabilitation in China: Community- Based Mental-Health Services." Consortium Psychiatricum 1, no. 2 (December 4, 2020): 21–27. http://dx.doi.org/10.17650/2712-7672-2020-1-1-21-27.
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Community-based mental health services are important for the treatment and recovery of patients with mental health disorders. The Chinese government has made the establishment of a highly efficient community-based health service an enduring priority. Since the 1960s, community-based mental health services have been developed in many Chinese cities and provinces. National policies, including mental health regulations and five-year national mental health working plans, have been issued to support the development of quality of mental health services. The accessibility and efficiency of community-based mental health services are now highly promoted to community residents. According to the National Standards for Primary Public Health Services, community-based mental health services are one of the most important components of primary public health services. They are mainly provided via Community Health Service Centres (CHCs), by a combination of general practitioners, public health physicians, nurses and social workers. Patients receive individualized and continuous health services according to their rehabilitation status. These services include regular physical examination, health education, rehabilitation guidance, social function rehabilitation training, vocational training and referral services; family members also receive care and psychological support. Future work will focus on expanding mental health service coverage and usage, increasing awareness of mental health and decreasing stigma, and strengthening service capability to establish an integrated model to enhance the overall efficiency of mental health services.
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Li, Xuemei, Lanshu Zhou, and Tingting Zhang. "Perceived Participation and its Correlates Among Patients With Parkinson Disease in China." Archives of Physical Medicine and Rehabilitation 99, no. 10 (October 2018): e44. http://dx.doi.org/10.1016/j.apmr.2018.07.153.
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Wu, Kit. "Acupuncture in a Rehabilitation Setting: Wu Visits Wuhan." Acupuncture in Medicine 21, no. 1-2 (June 2003): 52–54. http://dx.doi.org/10.1136/aim.21.1-2.52.
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This paper reports the personal experiences encountered by the author (a medical student) on an elective period at a large rehabilitation unit of Tongji Hospital in Wuhan, China. The author had the opportunity to learn the principles of traditional Chinese medicine and practise blunt needling under careful supervision. This elective experience illustrated, for the author, how acupuncture can be used alongside western medicine to restore patients to their optimum state of health.
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Shi, Weiyi, Yang Yan, Yifan Zheng, Qifeng Wang, Xinxin Zhou, Zhilu Li, and Jing Zhang. "Research Progress on the Influence of Movement Instruction on Community Life in Patients with Coronary Heart Disease." Journal of Advances in Medicine Science 4, no. 1 (February 25, 2021): 29. http://dx.doi.org/10.30564/jams.v4i1.2828.
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The incidence of coronary heart disease increases year by year with the material level of our country. It has a harmful effect on the patient’s life health and quality of life. Movement Instruction is an important aspect of the secondary prevention project of cardiac rehabilitation in patients with coronary heart disease. Although it has a history of decades at inland and abroad, the present situation in China is not optimistic. Some studies have shown that the popularization and participation of cardiac rehabilitation is true and lacking. This paper sums up the relevant knowledge of coronary heart disease, coronary heart disease movement instruction and its impact on community life of patients at home and abroad, and reviews the research results of movement instruction on community rehabilitation of coronary heart disease in recent years, which provides a theoretical reference and prospect for the future research of community exercise rehabilitation of coronary heart disease.
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Rathore, F. A., C. O'connell, and J. Li. "(A313) Role of Physiatrists in Post Disaster Scenarios - Lessons Learned from Pakistan, China and Haiti Earthquakes." Prehospital and Disaster Medicine 26, S1 (May 2011): s105. http://dx.doi.org/10.1017/s1049023x1100330x.
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IntroductionPhysical Medicine and Rehabilitation is a goal oriented and patient centered specialty which focuses on functional restoration and quality of life of persons with disability. The patterns of injuries among survivors of recent disasters have, range from mild (single limb fracture) to catastrophic (spinal cord injury, amputation, traumatic brain injury). Historically physiatrists have not participated the acute disaster management phase or in the emergent post disaster rehabilitation planning. This task is usually relegated to the trauma, orthopedic and general surgeons.MethodologyAuthors had firsthand experience in the acute and emergent care and rehabilitation of trauma patients after Pakistan, China and Haiti earthquakes. An electronic literature search (English, 1965–2010, Key words: trauma, rehabilitation, disability, spinal cord injury, amputation, disaster, nerve injury) was carried out. Experience sharing through committees, online forum, and communications were conducted with physiatry colleagues internationally.ResultsIn these three recent earthquakes, Physiatrists provided direct patient care, including guidance in the evacuation of survivors with pre-existing disabilities, transport of persons with spinal trauma, treatment of wounds, fractures, pain, spinal trauma patients and persons with amputations. Physiatrists devised appropriate plans for conservative management of fractures. Education of local staff and coordination of rehabilitation was initiated. Monitoring, prevention and treatment of secondary complications including prolonged immobility, pressure ulcers, chronic pain, urinary, bowel and respiratory dysfunction was performed. Physiatrists helped in patient counseling and family education.ConclusionPhysiatrists by virtue of their training and skills are in a better position to manage the disabilities, including direction of rehabilitation and community integration, prevention of complications, and education and training of health workers and teams. Timely rehabilitation interventions for Spinal cord injuries and lower limb amputations following the Pakistan, China and Haiti earthquakes resulted in reduction in morbidity and mortality among those with catastrophic injuries.
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Chen, X., R. Ni, Y. Mo, L. Li, and D. Yang. "Appropriate BMI levels for PCOS patients in Southern China." Human Reproduction 25, no. 5 (February 18, 2010): 1295–302. http://dx.doi.org/10.1093/humrep/deq028.
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Budiarta, Pande Made Dwi, Adhyasta Nata Prawira S, Citra Wulandari Sofyan, and Putu Topan Bagaskara. "The outcome of early rehabilitation therapy for the patient after percutaneous coronary intervention: a systematic review and meta-analysis." Intisari Sains Medis 13, no. 2 (August 19, 2022): 480–86. http://dx.doi.org/10.15562/ism.v13i2.1446.
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Background: Acute myocardial infarction (AMI) is one of the leading causes of mortality, morbidity and physical disability worldwide. The chief treatment for AMI is primary percutaneous coronary intervention (PCI). However, the effectiveness of early rehabilitation therapy after PCI patients still lacks documentation. Therefore, a meta-analysis has assessed the patient's outcome of early rehabilitation therapy after PCI. Methods: The searching protocol was carried out using several databases, such as PubMed, ScienceDirect, and Google Scholar, to identify relevant topics in June 2022. This study used the Preferred Reporting Items for Systematic Review and Meta-Analysis 2020 (PRISMA) guidelines. Result: There were nine studies included in this systematic review and meta-analysis. All of the reviewed studies were written in English. Most of the included studies were carried out in China. Most of the included studies were carried out in China. The mean age of the patient were all above 18 years. The total participants were 858 patients with PCI. There was a significant difference in 6-minute walk distance (MD = 85.64; 95% CI = 78.68–92.60; p < 0.01); left ventricle ejection fraction (LVEF) (MD = 5.97; 95% CI = 5.30–6.63; p < 0.01) and body mass index (BMI) score score (MD = 1.43; 95% CI = 0.86–2.00; p < 0.01) between groups in overall analysis. Conclusion: Early rehabilitation in patients with PCI has better outcomes (6-minutes walk distances, LVEF, and BMI score) than in the control group.
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Meshcheryakova, N. N., A. S. Belevskiy, and A. V. Kuleshov. "Pulmonary rehabilitation of patients with coronavirus infection COVID-19, clinical examples." PULMONOLOGIYA 30, no. 5 (October 26, 2020): 715–22. http://dx.doi.org/10.18093/0869-0189-2020-30-5-715-722.
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At the end of 2019, an outbreak of a new coronavirus infection was identified in the People’s Republic of China centerd in the city of Wuhan. The official name COVID-19 (COronaVIrus Disease 2019) was assigned to the infection caused by the novel coronavirus by the World Health Organization on February 11, 2020. The International Committee on Taxonomy of Viruses assigned the name to the causative agent of the infection – SARS-CoV-2 on February 11, 2020. The bilateral pneumonia is currently known to be the most common clinical manifestation of the variant of coronavirus infection. The development of acute respiratory distress syndrome was found in 3 – 4% of patients. As a result of pneumonia, patients develop ventilation and perfusion disorders, weakness of skeletal muscles. To recover patients after viral pneumonia, methods of pulmonary rehabilitation should be applied. This article represents the methods of pulmonary rehabilitation aimed to improve the blood circulation in the lungs, the ventilation-perfusion ratios, and to the restoration of the skeletal muscles.
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Wang, Xishi. "An Integrated System of Community Services for the Rehabilitation of Chronic Psychiatric Patients in Shenyang, China." British Journal of Psychiatry 165, S24 (August 1994): 80–88. http://dx.doi.org/10.1192/s0007125000293021.
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The evolution of the Zhengyang Community Mental Health Rehabilitation Centre described in this paper proves that community-based mental health services initiated and developed by enthusiastic and committed community members can be successful in the Chinese setting. The most important step is to utilise community resources to secure a stable source of income, preferably by establishing a profitable welfare enterprise that can both finance the provision of other services and provide work for mentally ill clients who cannot obtain regular employment. The ultimate goal is to reintroduce as many clients back into the community as possible, so a range of services is needed: supervision of medication, social skills training, occupational rehabilitation, and, most importantly, work placement. The vitality of the organisation depends on its flexibility and responsiveness to the changing needs of patients; it must use its experience to guide policy decisions about the development of new services and the alteration or termination of existing services.
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Yao, Xiaoqin, Mengzhen Li, and Cuiling Feng. "Opinions on the rehabilitation therapies of coronavirus disease 2019 (COVID-19)." Traditional Medicine and Modern Medicine 03, no. 01 (March 2020): 37–44. http://dx.doi.org/10.1142/s2575900020200025.
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The COVID-19 epidemic in China has been effectively controlled, a large number of patients have been released from isolation and discharged, and the treatment and rehabilitation programs in the recovery period need to be effectively implemented. The recovery of coronavirus disease 2019 is a syndrome of deficiency and solidity. The deficiency of qi and yin is dominant, and some patients have yang deficiency; phlegm and stasis are the main pathological products. We suggest that hierarchical management is recommended for patients in the recovery period. Asymptomatic patients with normal lung imaging results should take the respiratory rehabilitation program and have no need to take drugs. Patients with clinical symptoms with or without lung shadows, and patients who have no obvious symptoms but whose lung shadows are not completely absorbed, need to be treated according to syndrome differentiation.
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Wogu, Chigemezi-Nnadozie. "The Legacy of Elisabeth Maria Redelstein, RN." International Bulletin of Mission Research 44, no. 3 (March 2, 2020): 291–301. http://dx.doi.org/10.1177/2396939320905676.
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Popularly known as “the China Nurse,” Elisabeth Redelstein was one of the most influential missionary nurses the Seventh-day Adventist Church ever had. Her life of service included her caring for patients in the United States, China, and Taiwan. Her devotion to work led her into friendship with the ruling family of China in the 1930s. Her zeal for health empowerment, including educating nurses in China and Taiwan, arose from her passion for women’s emancipation. Her commitment to the gospel and evangelization led her to engage in relief, social intervention, and rehabilitation efforts in Germany following the Second World War.
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Shah, Sayed Zulfiqar Ali, Mohammad Nasb, Min Lu, Liangjiang Huang, Yizhao Wang, and Hong Chen. "Scaling the Need, Benefits, and Risks Associated with COVID-19 Acute and Postacute Care Rehabilitation: A Review." Rehabilitation Research and Practice 2020 (August 26, 2020): 1–9. http://dx.doi.org/10.1155/2020/3642143.
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Coronavirus is an RNA virus, which attacks the respiratory system causing complications including severe respiratory distress and pneumonia and many other symptoms. Recently, a novel coronavirus (COVID-19) outbreak emerged in Wuhan, which caused a significant number of infections in China and resulted in a global pandemic. The main aim of this study is to review and summarize the evidence regarding the supportive role of physical rehabilitation techniques in managing COVID-19-associated pneumonia. In this review, we also emphasize the use of rehabilitation techniques in the management of pneumonia in COVID-19-infected patients. Based on the evidence presented, we conclude that certain physical rehabilitation techniques and modalities could be of great support in the management of COVID-19-associated pneumonia. The safety of staff and patients when applying rehabilitation intervention requires attention. The combination of physical rehabilitation and medical treatment would result in improved treatment outcomes, faster recovery, and shorter hospital stay. Many rehabilitation techniques are safe and feasible and can be easily incorporated into the management protocol of COVID-19 victims. Decisions of early rehabilitation induction should be based on the patient’s medical condition and tolerability.
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Li, Juan, Dongling Zhong, Jing Ye, Mingxing He, Xicen Liu, Hui Zheng, Rongjiang Jin, and Shao-lan Zhang. "Rehabilitation for balance impairment in patients after stroke: a protocol of a systematic review and network meta-analysis." BMJ Open 9, no. 7 (July 2019): e026844. http://dx.doi.org/10.1136/bmjopen-2018-026844.
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IntroductionMultiple rehabilitation therapies have been reported to be effective for poststroke balance impairment. However, the comparative effectiveness of these rehabilitation therapies is still unclear. Therefore, the aim of this study is to summarise evidence and identify the most effective rehabilitation therapy for poststroke balance impairment.Methods and analysisThe following databases will be searched: China Biology Medicine, China National Knowledge Infrastructure, Wan Fang Data, the Chinese Science and Technology Periodical Database, Medline, Excerpt Medical Database (EMBASE), Web of Science, the Cochrane Library, from inception to June 2019. All randomised controlled trials that have used rehabilitation interventions to treat poststroke balance impairment will be included. The primary outcomes are the Berg Balance Scale, the Fugl-Meyer Assessment (balance), the Postural Assessment Scale for Stroke, as well as the function in sitting test, the Sitting Balance Scale, the Ottawa Sitting Scale, the Activities-specific Balance Confidence Scale, the Overall Balance Index and the Brunel Balance Assessment. The secondary outcomes include the Barthel Index, the Functional Ambulation Category Scale, fall rates, the Timed Up and Go test, the MOS 36-Item Short-Form Health Survey, and adverse events. To ensure that all relevant studies are included without personal bias, study selection, data extraction and quality assessment will be performed independently by two reviewers. Risk of bias will be assessed with the Cochrane risk of bias assessment tool. Review Manager V.5.3 software will be used to make bias risk diagram and pairwise meta-analysis, while network data synthesis will be performed using WinBUGS V.1.4.3 and R software.Ethics and disseminationEthics approval is not required for systematic review and network meta-analysis. The results will be submitted to a peer review journal or at a conference.Trial registration numberPROSPERO (CRD 42018107441).
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Ma, Jiang, Xiaoxiao Liu, Huaimin Lu, Di Zhang, Tianyu Zhao, Ju Wang, and Song Jin. "Effects of proprioceptive training in the recovery of patients submitted to meniscus surgery: systematic review and meta-analysis." BMJ Open 12, no. 6 (June 2022): e055810. http://dx.doi.org/10.1136/bmjopen-2021-055810.
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ObjectiveTo evaluate the effects of proprioceptive training on rehabilitation of knee after arthroscopic partial meniscectomy (APM).DesignPubMed, EMBASE, The Cochrane Library, Web of Science, China National Knowledge Infrastructure, Technology Periodical Database, WanFang Data and China Biology Medicine were searched until December 2021 for randomised controlled trials.ParticipantsPatients who have undergone APM for meniscus injury caused by traumatic tear.ResultsA total of 9 studies with 453 patients were included in this study for meta-analysis, and 2/9 with high quality, 6/9 with moderate quality. Based on very low quality evidence, the pooled effect showed significant improvement for proprioceptive training group in proprioception test (p<0.05, I2=18%), knee extensor muscle strength (p<0.05, I2=29%), knee flexor muscle strength (p<0.05, I2=0%) and knee function score (p<0.05, I2=0%) compared with conventional training group in patients after APM.ConclusionBased on very low quality, adding proprioceptive training to conventional rehabilitation programmes might be beneficial to promote functional recovery for patients after APM. It is necessary to carry out more samples and higher quality large-scale studies to provide high evidence in the future.PROSPERO registration numberCRD42020213201.
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Tao, Zhengde, Gaofeng Rao, Shasha Wu, Yongqiang Lin, Jinqiao Wang, and Zhirui Chen. "Rehabilitation Evaluation of Hemiplegic Patients with Anterior Circulation Cerebral Infarction Based on Cranial Magnetic Stimulation." Journal of Healthcare Engineering 2021 (July 29, 2021): 1–7. http://dx.doi.org/10.1155/2021/7868419.
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Cerebral infarction is a common cerebrovascular disease in clinical medicine. Cerebral infarction in the anterior circulation accounts for about 90% of cerebral infarction. Its treatment and rehabilitation has always been a research hotspot in the medical field. Functional retraining can enhance the afferent impulses received by receptors, make the plasticity development of cerebral cortex function, and improve the loss of function. Based on the patient’s individual condition, exercise therapy carries out the corresponding comprehensive functional training plan, which also includes the training of patients’ daily living ability, turning over, bridge exercise, trunk rotation, etc., in order to improve the motor function of patients. The other is psychotherapy, which can cause emotional fluctuations, depression, anxiety, and other negative emotions due to the occurrence of diseases. In the rehabilitation treatment, relevant personnel can conduct psychological counseling for patients through timely and effective communication, so as to better establish patients’ confidence in rehabilitation and improve the effect of rehabilitation treatment. The third is acupuncture treatment. Acupuncture is a traditional rehabilitation treatment in China. The rehabilitation effect of stroke has been proved by a large number of clinical practice. Acupuncture at Hegu, Quchi, Zusanli, and Taichong points can dredge channels and improve blood circulation. This paper mainly studies and analyzes the effect of behavior rehabilitation of hemiplegic patients with cerebral anterior circulation infarction treated by cranial magnetic stimulation. The rehabilitation treatment status of hemiplegic patients with anterior circulation cerebral infarction in a hospital was selected, and 100 cases were studied. Among them, 50 cases were treated with conventional rehabilitation therapy, and the other 50 cases were treated with cranial magnetic stimulation. The motor function, activities of daily living, and language expression ability of the two groups were compared for statistical analysis. After transcranial magnetic stimulation treatment, the abilities of the study group were better than those of the control group, P < 0.05 , with statistical significance. Based on the reliable experimental data, we can draw a conclusion that the treatment of cranial magnetic stimulation has a significant effect on the rehabilitation of hemiplegic patients with cerebral anterior circulation infarction, which is higher than the conventional treatment and rehabilitation methods, and can be popularized in clinical application.
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Diwate, Abhijit. "ROLE OF PHYSIOTHERAPY IN COVID-19 PATIENTS." VIMS JOURNAL OF PHYSICAL THERAPY 2, no. 1 (June 30, 2020): 1–2. http://dx.doi.org/10.46858/vimsjpt.2101.
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Corona virus disease 2019 (COVID-19) caused by SARS-CoV-2 is a new corona virus that was first identified in Wuhan city of China in December 2019. In the wake of COVID 19 affecting India, the worst affected is the state of Maharashtra accounting for one third of all cases in the country. Physiotherapy is beneficial in the treatment and physical rehabilitation of patients with COVID-19. Patient presenting with productive cough and with underlying respiratory conditions benefit from the Physiotherapy. “Expert consensus and recommendation for Physiotherapy management for COVID 19 in Indian set up” guidelines approved by Maharashtra State Council for Occupational Therapy and Physiotherapy, Mumbai will help physiotherapists in decision making and treatment planning.
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Li, Feifei, and Mingde Wang. "A Behavioural Training Programme for Chronic Schizophrenic Patients." British Journal of Psychiatry 165, S24 (August 1994): 32–37. http://dx.doi.org/10.1192/s0007125000292957.
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This paper discusses the effectiveness of an in-patient rehabilitation programme administered by nurses that combines life skills training, active encouragement, and a token economy. Fifty-two chronic schizophrenic patients with prominent negative symptoms who had been continuously in hospital for at least a year were randomly assigned to the experimental or control group. The training and associated reinforcement schedule were administered daily to experimental subjects by two specially trained rehabilitation nurses. Control subjects did not receive training or reinforcement but were individually asked to perform the same daily tasks and participate in the same activities as the experimental-group subjects. Patients in both groups received their previous dosage of medication throughout the trial. After three months the severity of negative symptoms, as assessed by blind evaluators, decreased in both groups of subjects, but the improvement in the experimental group was much greater than that in the control group. These findings demonstrate the efficacy of behavioural interventions for chronic schizophrenic in-patients in China and highlight the importance of changing the role of Chinese psychiatric nurses from that of custodians who control patients' behaviour to that of therapists who provide psychological and behavioural treatment.
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Gosavi, Nayana, Bhagyashri Karande, and Ajay Godse. "Assessment of Post COVID-19 Rehabilitation Programme using Post-Acute Lung Injury Functional Scale." International Journal of Health Sciences and Research 11, no. 10 (October 20, 2021): 311–21. http://dx.doi.org/10.52403/ijhsr.20211041.
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Background: Since its outbreak in China in January 2020, Coronavirus Disease 2019 (COVID-19) has spread worldwide and then, the World Health Organization declared that outbreak as a pandemic. The predominant pathological change is diffuse lung injury, most of the patients suffered from intra-alveolar fibrinous exudate and pulmonary interstitial fibrosis, resulting in hypoxia, dyspnoea, and functional disabilities. Cardiopulmonary rehabilitation in COVID-19 patients is a nonpharmacological intervention which is still in evolving phase. Due to insufficient availability of data on functional assessment of any patient who has suffered a lung injury, this study has formulated a grading system for them. Also, we studied our patient data retrospectively to study the impact of cardiopulmonary rehabilitation in recovery of these patients. Methods: This retrospective study was taken to do Functional assessment of patients with COVID-19 using PALIFS (Post-Acute Lung Injury Functional Scale). Along with formulating and executing individually tailored cardiopulmonary rehabilitation programme this study also focused on change in hemodynamic parameters, exercise tolerance and musculoskeletal strength before and after cardiopulmonary rehabilitation. Results: A statistically significant difference (p value <0.0001) was found in oxygen saturation level, heart rate at resting as well as post activity. Also, statistically significant difference in exercise tolerance and musculoskeletal strength post cardiopulmonary rehabilitation. Significantly slower recovery with advanced age but not with gender change and presence or absence of comorbidities. Conclusion: Cardiopulmonary rehabilitation had a positive effect in recovery of COVID-19 patients. Also, the PALIFS was found to be an easy, effective, and appropriate tool for the functional assessment of COVID-19 patients. Key words: COVID-19, Rehabilitation, Pulmonary, Functional scale, Lung injury.
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Liu, Chenxin, Xiaojiang Yang, Bing Meng, Zhao Yang, Xiaolei Zhao, Xiong Zhao, Yafei Feng, Wei Lei, and Zixiang Wu. "Survival in 222 Patients With Severe CSCI: An 8-Year Epidemiologic Survey in Western China." Archives of Physical Medicine and Rehabilitation 100, no. 10 (October 2019): 1872–80. http://dx.doi.org/10.1016/j.apmr.2018.12.030.
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Yuan, Xiaoyong, Hui Song, Gang Peng, Xia Hua, and Xin Tang. "Prevalence of Corneal Astigmatism in Patients before Cataract Surgery in Northern China." Journal of Ophthalmology 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/536412.
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Purpose. To analyze the prevalence and presentation patterns of corneal astigmatism in cataract surgery candidates in a teaching hospital in northern China.Methods. From May 1, 2012, to April 30, 2013, partial coherence interferometry (IOLMaster) measurements of all qualified cataract surgery candidates were retrospectively collected and analyzed.Results. The study evaluated 12,449 eyes from 6,908 patients with a mean age of69.80±11.15(SD) years. The corneal astigmatism was 0.5 diopters (D) or less in 20.76% of eyes, 1.0 D or more in 47.27% of eyes, 2.0 D or more in 13.16% of eyes, and 3.0 D or more in 3.75% of eyes. With-the-rule astigmatism was found in 30.36% of eyes, while against-the-rule was found in 52.41% of eyes. The percentage of against-the-rule astigmatism increased with age.Conclusion. Our study showed that almost one-half of preoperative eyes (47.27%) in northern China have a corneal astigmatism of 1.0 D or more, indicating that more surgical techniques or toric IOLs are needed to achieve better visual rehabilitation.
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Xu, Linqi, Wenji Xiong, Jinwei Li, Hongyu Shi, Meidi Shen, Xin Zhang, Yue Pang, et al. "Role of the intelligent exercise rehabilitation management system on adherence of cardiac rehabilitation in patients with coronary heart disease: a randomised controlled crossover study protocol." BMJ Open 10, no. 6 (June 2020): e036720. http://dx.doi.org/10.1136/bmjopen-2019-036720.
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IntroductionThe benefits of cardiac rehabilitation (CR) on the reduction of cardiac and all-cause mortality are well documented. However, adherence remains suboptimal in China. It is clear that traditional CR does not meet the needs of many eligible patients and innovation is required to improve its application. Home-based CR (HBCR) is a cost-effective method that may be a valuable alternative for many individuals in China. In HBCR, it is often difficult to maintain an exercise intensity that is both effective and within safe limits, factors that are essential for patient safety. Mobile health interventions have the potential to overcome these obstacles and may be efficacious in improving adherence. The purpose of this study is to evaluate whether an Intelligent Exercise Rehabilitation Management System (IERMS)-based HBCR could improve adherence to CR and to assess the effects on exercise capacity, mental health, self-efficacy, quality of life and lifestyle-related risk factors.Methods and analysisWe propose a single-blinded, two-arm, randomised controlled crossover study of 70 patients with coronary heart disease (CHD). Participants will be randomly assigned in a 1:1 ratio to one of the two groups. Patients in group 1 will receive the IERMS intervention together with usual care for the first 6 weeks and usual care for the last 6 weeks, while patients assigned to group 2 will receive usual care for the first 6 weeks and will use IERMS in the last 6 weeks. The primary outcome is adherence to the programme and secondary outcomes include exercise capacity, psychological well-being, quality of life, self-efficacy and lifestyle-related risk factors. All secondary outcomes will be measured at baseline, 6 weeks and 12 weeks.Ethics and disseminationThis study has been approved by the Human Research Ethics Committee of the School of Nursing, Jilin University (HREC 2019120901). The results will be published in peer-reviewed journals and at conferences.Trial registration numberChiCTR1900028182; Pre-results.
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Gong, Ni, Yinhua Zhou, Yu Cheng, Xiaoqiong Chen, Xuting Li, Xia Wang, Guiting Chen, Jingyu Chen, Hongyan Meng, and Meifen Zhang. "Practice of informed consent in Guangdong, China: a qualitative study from the perspective of in-hospital patients." BMJ Open 8, no. 10 (October 2018): e020658. http://dx.doi.org/10.1136/bmjopen-2017-020658.
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ObjectiveThis study aimed to investigate the practice of informed consent in China from the perspective of patients.DesignA qualitative study using in-depth interviews with in-hospital patients focusing on personal experience with informed consent.SettingGuangdong Province, China.Participants71 in-hospital patients in rehabilitation after surgical operations were included.ResultsMedical information is not actively conveyed by doctors nor effectively received by patients. Without complete and understandable information, patients are unable to make an autonomous clinical decision but must sign an informed consent form following the doctor’s medical arrangement. Three barriers to accessing medical information by patients were identified: (1) medical information received by patients was insufficient to support their decision-making, (2) patients lacked medical knowledge to understand the perceptions of doctors and (3) patient–doctor interactions were insufficient in clinical settings.ConclusionsInformed consent is implemented as an administrative procedure at the hospital level in China. However, it has not been embedded in doctors’ clinical practices because, from the perspective of patients, doctors do not fulfil the obligation of medical information provision. As a result, the informed part of informed consent was neglected by individual doctors in China. Reforming medical education, monitoring the process of informed consent in clinical settings and redesigning medical institutional arrangements are pathways to restoring the practice of informed consent and patient-centred models in China.
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Molchanova, E. E., V. V. Polunina, V. P. Plotnikov, and B. A. Polyaev. "Comparative efficiency of various accupucture methods in early rehabilitation of patients after ischemic stroke." Medical Journal of the Russian Federation 26, no. 2 (August 19, 2020): 78–84. http://dx.doi.org/10.18821/0869-2106-2020-26-2-78-84.
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Three hundred and thirty patients aged 3579 years, who underwent early rehabilitation in the primary vascular department, participated in a randomized controlled trial. In 220 patients (the main group of the study), non-drug rehabilitation (in the form of a combination of physiotherapy and exercise therapy) was optimized using various reflex therapy methods. The effectiveness of including them in rehabilitation schemes was analyzed in seven subgroups. One hundred and ten patients (the comparison group) underwent comprehensive non-drug rehabilitation without the inclusion of reflex therapy. The effectiveness of rehabilitation measures was evaluated by assessing dynamics (on the first day and after two weeks) according to the National Institutes of Health Stroke Scale, Barthel index, Beck questionnaires (level of depression), Spielberger-Hanin (level of reactive anxiety), and the Motivation for Success and Motivation for Fear of Failure (level of motivation) questionnaire tests. The best indicators on almost all scales were obtained in groups where patients underwent combined reflex therapy techniques: dynamic electroneurostimulation (DENS) in combination with classical acupuncture, su jok therapy in combination with classical, auricular acupuncture and craniopuncture, and prolonged craniopuncture in combination with corporal and auricular acupuncture. Indicators were slightly lower in the cases when separate methods were applied: DENS or su jok, and in subgroups where corporal and auricular acupuncture were combined with craniopuncture (according to the methodology of Professor Yu Zhi Shun, China), or craniopuncture according to classical methodology. The lowest indicators were in the group of patients who did not use methods of reflex therapy. This study confirmed the need to integrate acupuncture techniques in the schemes of early neurorehabilitation schemes of post-stroke patients for whom combined technologies are most effective.
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Xu, Junxiang, Minzhe Zheng, Zongxian Feng, Lingxiao Pan, and Zhaoxiang Peng. "Meta-Analysis of Knee Joint Function Recovery after Anterior Cruciate Ligament Reconstruction by Accelerated Rehabilitation Surgery." Computational Intelligence and Neuroscience 2022 (June 29, 2022): 1–8. http://dx.doi.org/10.1155/2022/5085143.
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Objective. This investigation was undertaken to systematically assess the impact of increasingly rapid recovery treatment on the functional status of the knee following anterior cruciate ligament restructuring. Methods. Computer search from the establishment of the database to March 2022 in China Knowledge Network Database (CNKI), PubMed, EMBASE, ScienceDirect, CochraneLibrary, China VIP Database, Wanfang Database, and China Biomedical Literature Database (CBM). The control group was given only traditional rehabilitation training, and the observation group was treated with perioperative accelerated rehabilitation surgery intervention randomized controlled trial (RCT). Data for all included studies were extracted by two independent researchers, and the risk of bias for the quality of each included study was assessed by the Cochrane Handbook 5.1.0 criteria. Meta-analysis of the collected data by using RevMan5.4 statistical software. Results. A total of 593 articles were retrieved from the computer database and 8 RCT articles with a total of 636 samples were finally included for meta-analysis. According to the Jadad scale, the RCT score of 8 articles was ≥4 points. Meta-analysis was performed on the postoperative VAS scores of the ERAS group and the traditional rehabilitation group, and the heterogeneity test showed Chi2 = 288.60, df = 5, P < 0.00001 , and I2 = 99%. There was a statistically significant difference in the postoperative VAS scale between the intervention and the traditional rehabilitation model P < 0.05 . Eight articles reported the effect of accelerated rehabilitation surgery on the recovery of knee joint motion after ACL rehabilitation. After meta-analysis, the heterogeneity test showed Chi2 = 314.98, df = 7, P < 0.00001 , and I2 = 98%, and it can be concluded from the analysis that, compared with the traditional rehabilitation model, the enhanced rehabilitation surgery has an effect on the joint function after anterior cruciate ligament reconstruction. The improvement effect was more significant, and the difference was statistically significant P < 0.05 . Four articles reported the effect of enhanced recovery after surgery intervention on the range of motion of the knee joint of patients, the heterogeneity test showed Chi2 = 117.52, df = 2, P < 0.00001 , and I2 = 98%, through analysis, and compared with the traditional rehabilitation model and the enhanced recovery. The effect of surgery on the range of motion of the knee joint after ACL reconstruction was more significant, and the difference was statistically significant P < 0.05 . The effect of enhanced recovery after surgery and traditional rehabilitation mode on the incidence of postoperative adverse reactions in patients undergoing ACL reoperation was analyzed. The results of heterogeneity test showed that Chi2 = 1.59, df = 2, P = 0.66 > 0.05 , and I2 = 98%, and the analysis showed that, compared with the traditional rehabilitation mode, enhanced rehabilitation surgery can significantly reduce the risk of adverse reactions after anterior cruciate ligament reconstruction P < 0.05 . An inverted funnel plot was used to analyze publication bias in studies with quality of life as an outcome measure. The results showed that Egger’s test P = 0.0005 < 0.001 suggesting that there may be a certain degree of publication bias. Conclusion. The existing research evidence shows that accelerating the reconstruction of anterior cruciate ligament can effectively promote the recovery of knee joint function, reduce the pain of patients, and reduce postoperative complications. However, more research is needed to further verify this.
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Greve, Júlia Maria D’Andréa, Guilherme Carlos Brech, Marília Quintana, André Luiz de Seixas Soares, and Angelica Castilho Alonso. "IMPACTS OF COVID-19 ON THE IMMUNE, NEUROMUSCULAR, AND MUSCULOSKELETAL SYSTEMS AND REHABILITATION." Revista Brasileira de Medicina do Esporte 26, no. 4 (August 2020): 285–88. http://dx.doi.org/10.1590/1517-869220202604esp002.
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ABSTRACT The new coronavirus, which causes the infectious disease named COVID-19 by the World Health Organization (WHO), was notified in 2020 in China. The main clinical manifestations in infected patients are fever, cough and dyspnoea. These patients are prone to developing cardiac changes, diffuse myopathy, decreased pulmonary function, decreased inspiratory muscle strength, and a deterioration in functional capacity. Thus, it is expected that patients affected by COVID-19 will suffer musculoskeletal consequences as a result of the inflammatory process and loss of muscle mass caused by immobility, generating motor incapacities that are not yet quantifiable. It is important to understand the clinical implications caused by COVID-19, in order to have better rehabilitation strategies for these patients. The aim of this study was to conduct a reflective analysis of the impact of COVID-19 on the immune, neuromuscular and musculoskeletal systems, and its rehabilitation process. This is a reflexive analysis, developed in the Laboratory for the Study of Movement of the Institute of Orthopaedics’ and Traumatology, at the Universidade de São Paulo School of Medicine, SP, Brazil. In this analysis, we reflect on the following topics related to COVID-19: immunological mechanisms, impact on the neuromuscular and musculoskeletal systems, and the rehabilitation of patients. Level of evidence V; Opinion of the specialist.
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Xie, Zhao, Russel Burge, Yicheng Yang, Fen Du, Tie Lu, Qiang Huang, Wenyu Ye, and Weihua Xu. "Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013." Journal of Osteoporosis 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/258089.
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Objectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China.Materials and Methods. Data were collected using a patient questionnaire from osteoporosis-related fracture patients (N= 123) who aged 50 years and older who were discharged between January 2011 and January 2013 from 3 large hospitals in China. The survey captured posthospital discharge direct medical costs, indirect medical costs, lost work time for caregivers, and patient ambulatory status.Results. Hip fracture was the most frequent fracture site (62.6%), followed by vertebral fracture (34.2%). The mean direct medical care costs per patient totaled 3,910¥, while mean indirect medical costs totaled 743¥. Lost work time for unpaid family caregivers was 16.4 days, resulting in an average lost income of 3,233¥. The average posthospital direct medical cost, indirect medical cost, and caregiver lost income associated with a fracture patient totaled 7,886¥. Patients’ ambulatory status was negatively impacted following fracture.Conclusions. Significant time and cost of care are placed on patients and caregivers during rehabilitation after discharge for osteoporotic fracture. It is important to evaluate the role and responsibility for creating the growing and inequitable burden placed on patients and caregivers following osteoporotic fracture.
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JianJun Yu, YongShan Hu, Yi Wu, WenHua Chen, YuLian Zhu, Xiao Cui, WeiBo Lu, Qi Qi, PeiYu Qu, and XiaoHua Shen. "The effects of community-based rehabilitation on stroke patients in China: a single-blind, randomized controlled multicentre trial." Clinical Rehabilitation 23, no. 5 (April 6, 2009): 408–17. http://dx.doi.org/10.1177/0269215508091870.
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Luo, Yixin, Yanlin Huang, Xiuyu Chen, Gang Meng, and Yongsheng Zhang. "Effects of Multidisciplinary Team Care Based on 5E’s Renal Rehabilitation for Peritoneal Dialysis Patients in Guangxi Zhuang Autonomous Region of China: A Randomized Controlled Trial." Blood Purification 48, no. 2 (2019): 115–23. http://dx.doi.org/10.1159/000496823.
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Background: The number of patients with peritoneal dialysis (PD) in China has been increasing year after year, but there are still some challenge in the management of PD patients, and the efficient and effective method has yet to be developed. Multidisciplinary team (MDT) is to create a standardized, individualized, and continuous integrated treatment program for the patients, to ensure the best efficacy and improve patient outcomes. 5E’s renal rehabilitation was originally developed by the Life Options Rehabilitation Advisory Council in 1997 to achieve better management of PD patients. However, there is still no relevant study combining these 2 methods and applying to PD patients so far. Methods: A randomized controlled trial was undertaken in the nephrology department of the First Affiliated Hospital of Guangxi Medical University. We recruited 146 patients according to inclusion and exclusion criteria and divided them into study group (n = 73) and control group (n = 73) using SPSS random number. The control group received routine care and follow-up, while the study group received MDT care based on 5E’s renal rehabilitation. The self-management scale for PD patients and the incidence of dialysis-related peritonitis were compared before discharge and 12 months after discharge. Results: T tests showed that there were no significant differences between the 2 groups in the 5 subscales of Self-management Scale for PD patients at the baseline measures (p > 0.05). However, after 12 months of intervention, the study group gained higher scores in the 5 subscales while the control group declined. And the study group improved statistically significant compared with the control group on “Solution bag replacement (t = 3.103, p = 0.002),” “Troubleshooting during operation (t = 3.978, p ≤ 0.001),” “Diet management (t = 3.201, p = 0.002),”and “Emotion management and return to social life (t = 3.552, p = 0.001)” subscales. Moreover, the peritonitis occurrence rate of the study group (1/68.1 patient month) was statistically significantly lower than that of control group (1/29.4 patient month; p = 0.047). Conclusions: MDT care based on 5E’s renal rehabilitation is beneficial for patients undergoing PD and helpful to improve self-management ability and reduce the incidence of peritonitis.
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Hou, Yonghui, Ying Liu, Minying Li, Baile Ning, Zehuai Wen, and Wenbin Fu. "Acupuncture plus Rehabilitation for Unilateral Neglect after Stroke: A Systematic Review and Meta-Analysis." Evidence-Based Complementary and Alternative Medicine 2020 (March 10, 2020): 1–9. http://dx.doi.org/10.1155/2020/5301568.
Full textAbstract:
Objectives. To systematically assess the efficacy of acupuncture combined with rehabilitation on unilateral neglect after stroke. Methods. The Cochrane Library, PubMed, Excerpt Medical Database (EMBASE), China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Chinese Biomedical Literature Database (CBM), and Wan Fang databases were searched online for randomised controlled trials (RCTs) of acupuncture and its effects on unilateral neglect after stroke from their inception to September 2019. RCTs on acupuncture combined with rehabilitation in the experimental group for unilateral neglect compared with rehabilitation alone or rehabilitation plus sham acupuncture in the control group were included. Two authors separately screened the literature, extracted the data, and evaluated the quality of the included studies. Review Manager 5.3 software was used for the data analysis. Results. A total of 542 patients from nine RCTs were included. The meta-analysis showed that the experimental groups could significantly improve Fugl–Meyer Assessment (FMA) (MD = 11.54, 95% CI [9.54, 13.54], P<0.00001) and the ability of daily living (SMD = 1.35, 95% CI [0.64, 2.07], P<0.00001) when compared with the control groups. However, there was no significant difference in the drop of Catherine Bergego Scale (CBS) and Behavioural Inattention Test-conventional (BIT-C) between the two groups. Conclusions. Acupuncture combined with rehabilitation was more effective in improving the motor function and the ability of daily living. Because of the limitations regarding the quantity and quality of the studies in this meta-analysis, high-quality and well-designed RCTs are necessary to validate the above conclusions.
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Zhang, Xuankai. "Research on Development Status and Trend of Mechanical Prosthetics." Academic Journal of Science and Technology 3, no. 2 (October 28, 2022): 178–81. http://dx.doi.org/10.54097/ajst.v3i2.2167.
Full textAbstract:
With the progress of social economy and science and technology, there are more opportunities for the development of medical industry. Moreover, the life span of human beings is increasing, and the requirements for quality of life are getting higher and higher, which makes clinical medicine and rehabilitation medicine face greater challenges. Orthodontics and appliances are an important part of rehabilitation medicine. Amputees and disabled limbs, by wearing appropriate mechanical prostheses and orthotics, can effectively improve the limb function, help to recover and return to normal social life. Therefore, mechanical prosthesis plays an important role in rehabilitation medicine. Fitting artificial limbs and orthotics requires the coordination and cooperation of doctors, patients and rehabilitation teachers, and only in this way can their effectiveness be maximized. Based on this, this paper first expounds the function, classification and characteristics of mechanical prosthesis, and then expounds the present situation and future development trend of mechanical prosthesis technology in China.