COMMUNITY-BASED REHABILIATION IN BEIJING
Wang zhidong, Li Mei and Cui Guojun (Beijing Disabled Federation, Beijing, China)
Wang Naobin, Tong Zhifu and Song Xiaoyan (Beijing Hospital, Beijing, China)
PURPOSE AND METHOD: According to the Chinese situations, A socialized CBR service system was established in Beijing. It includes a management network (to set up the office of CBR), a service-guide network (as a technical resource center) and a CBR service network (to carry out CBR concretely). Every network was divided into 3 grade: City-District-Street or resident committee in 8 urban area and Country-Town- Village in the 10 rural area. On the basis of the plan of 9th 5 years for disabled rehabilitation in Beijing established by Beijing Disabled Federation, the CBR concentrate on the 8 items of rehab-service, such as Cataract operation, Low vision, Deaf children, Motor Impairment of limbs, Intellectual impairments of children, Psychological impairment, Iodine insufficient, and Articles and utensil for rehab.
RESULT: This CBR service system have been in motion for three years. In the Haidian district, as a pilot, the return society rate for CBR objects is 93.6%. Return work rate for rehab-abled of disabled is 84.6%. School education rate for disabled children is 95.79%.
CONCLUSIONS: This is effective CBR system, It would be developed in the future.
REHABILITATION NEEDS IN A COMMUNITY HOSPITAL
Yusuke Mon (Ayabe Kyoritsu Hospital, Ayabe, Japan)
Purpose: To investigate the requirements and effectiveness of rehabilitation procedures in medical and surgical wards in a community hospital located in a city where one-fourth of the population is over sixty-five.
Method: Six hundred patients, discharged during a period of seven months, were examined as to rehabilitation needs and effects.
Results: Therapeutic exercises were prescribed for seventy-nine patients (13.2%). Of these, thirty-three (Group A) had been hospitalized because of paralytic diseases, such as musculoskeletal disease and stroke; forty-six (Group B) had been hospitalized due to medical and surgical diseases, which in themselves do not cause motor disturbances, but because these patients had developed disuse syndrome before or during hospitalization, therapeutic exercises were prescribed. The mean age of Group B was higher than that of Group A (83±6 vs. 74±14) ; and before hospitalization, the ADL level of Group B was, as expected, much lower than that of Group A. However, when ADL levels for both groups at discharge were compared, it was discovered that individual ADLs for Group B had more often been restored to their original, pre-hospitalization level.
Conclusion: In a community hospital which treats so many aged people, greater emphasis must be placed on rehabilitation for patients afflicted with medical and surgical diseases which do not cause motor disturbances.