社区残疾康复服务O2O平台的设计及应用效果研究

doi:10.3969/j.issn.1007-9572.2016.31.022

摘要/Abstract

摘要： 目的　设计社区残疾康复服务O2O平台，并探讨其应用效果。方法　选取2015年南昌市6个社区接受O2O平台康复服务的残疾患者120例为试验组，同时便利抽取南昌市另外6个相似社区接受常规康复服务的残疾患者120例为对照组。O2O平台康复服务，即通过O2O平台，患者和家属在线上得到住院医师的康复指导，并订制社区康复服务，线下医学院志愿者在社区为患者提供专业的康复服务。两组均干预1年，采用症状自评量表（SCL-90）、改良Barthel指数（MBI）、世界卫生组织生存质量量表（WHOQOL-100）进行效果评定。结果　两组干预前躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性得分间差异均无统计学意义（P>0.05）；而试验组干预后躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性得分均低于对照组，差异有统计学意义（P0.05）；而试验组干预后MBI总分和WHOQOL-100生理、心理、独立性、社会关系、环境、精神支持得分及总分均高于对照组，差异有统计学意义（P<0.05）。结论　完成了社区残疾康复服务O2O平台设计和开发，且该平台对提高残疾患者的日常生活活动能力、心理健康状况和生存质量具有积极作用。

关键词: 社区, 残疾人, 康复, O2O平台, 应用效果

Abstract: Objective　To design O2O platform of community rehabilitation services and to explore its application effects.Methods　120 disabled patients,who accepted O2O platform rehabilitation services in 6 communities of Nanchang in 2015,were selected as the experimental group,and another 120 disabled patients who accepted routine rehabilitation services in 6 similar communities of Nanchang at the same time were conveniently taken as the control group.O2O platform rehabilitation services——patients and their families got online rehabilitation guidance from resident doctors,customized community rehabilitation services,and offline professional rehabilitation services for patients provided by volunteers from Medical College in community through O2O platform.The two groups were intervened for one year;results were evaluated by using Symptom Check List-90（SCL-90）,Modified Barthel Index（MBI）,and World Health Organization Quality of Life-100（WHOQOL-100）.Results　The scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoid and psychosis between two groups before intervention were not significantly different（P>0.05）;the scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoid and psychosis in experimental group after intervention were significantly lower than those in control group（P<0.05）.There was no significant difference in total score of MBI and WHOQOL-100 scores of physiology,psychology,independence,social relations,environment and emotional support and total score between two groups before intervention（P>0.05）;total score of MBI and WHOQOL-100 scores of physiology,psychology,independence,social relations,environment and emotional support and total score in experimental group after intervention were significantly higher than those in control group（P<0.05）.Conclusion　The design and development of O2O platform for community disability rehabilitation services are completed.This platform has positive effect on improving activities of daily living,mental health and quality of life of disabled patients.

Key words: Community, Disabled persons, Rehabilitation, O2O platform, Application effect

贾书磊, 方小群, 冯琼, 刘萌. 社区残疾康复服务O2O平台的设计及应用效果研究[J]. 中国全科医学, 2016, 19(31): 3866-3869.

JIA Shu-lei, FANG Xiao-qun, FENG Qiong, LIU Meng. Design of O2O Platform of Community Disability Rehabilitation Services and Its Application Effect[J]. Chinese General Practice, 2016, 19(31): 3866-3869.

参考文献

［1］包淑杰，黄文，于利华，等.建立农村脑卒中残障患者康复治疗模式初探［J］.中国全科医学,2012,15（27）:619-622.DOI:10.3969/j.issn.1007-9572.2012.09.110. BAO S J,HUANG W,YU L H,et al.Research on rehabilitation mode for stroke patients with disabilities in rural areas［J］.Chinese General Practice,2012,15（27）:619-622.DOI:10.3969/j.issn.1007-9572.2012.09.110. ［2］王海英，马敏.互动护理模式在康复科患者健康教育中的作用［J］.安徽医学，2015，36（7）：903-905. ［3］社会福利和慈善事业促进司.中国残疾人实用评定标准［DB/OL］.［2015-09-20］.http://www.mca.gov.cn/article/zwgk/fvfg/shflhshsw/201303/20130300431140.shtml. ［4］BAINS M,HALL E D.Antioxidant therapies in traumatic brain and spinal cord injury［J］.Biochim Biophys Acta,2012,1822（5）:675-684.DOI:10.1016/j.bbadis.2011.10.017. ［5］COULOMBE S,RADZISZEWSKI S,MEUNIER S,et al.Profiles of recovery from mood and anxiety disorders:a person-centered exploration of people’s engagement in self-management［J］.Front Psychol,2016,7:584.DOI:10.3389/fpsyg.2016.00584. ［6］SCHNAAR R L,GERARDY-SCHAHN R,HILDEBRANDT H.Sialic acids in the brain:gangliosides and polysialic acid in nervous system development,stability,disease,and regeneration［J］.Physiol Rev,2014,94（2）:461-518.DOI:10.1152/physrev.00033.2013. ［7］钱红，谢明.社区康复对脑出血偏瘫患者功能恢复的影响［J］.实用心脑肺血管病杂志，2014，22（2）：95-97. QIAN H, XIE M.Effect of community rehabilitation on functional recovery in cerebral hemorrhage patients with hemiplegia［J］.Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease，2014，22（2）：95-97. ［8］李建军,杨明亮,王方永,等.我国康复服务的未来发展方向探讨［J］.中国康复理论与实践,2008,14（11）:1081-1082.DOI:10.3969/j.issn.1006-9771.2008.11.033. LI J J,YANG M L,WANG F Y,et al.View of rehabilitation services development in China［J］.Chin J Rehabil Theory Pract,2008,14（11）:1081-1082.DOI:10.3969/j.issn.1006-9771.2008.11.033. ［9］聚行业.互联网+医疗行业发展现状［DB/OL］.［2015-09-20］.http://mhealth.juhangye.com/201606/weixin_2786635.html.

[1]	靳惠子, 许鑫, 李智婧, 高冰, 麻永怀, 纪颖. 社区医护人员呼吸道传染病卫生应急能力调查研究[J]. 中国全科医学, 2026, 29(05): 559-567.
[2]	陈敏, 彭香婷, 李晓梅, 官文黎, 李琴, 郭富利, 叶蓉, 赵彩萍. 基层社区药学工作室的构建与实践探索研究[J]. 中国全科医学, 2026, 29(05): 568-573.
[3]	刘旭初, 王午喜. 社区卫生服务中心品牌战略：理念及路径[J]. 中国全科医学, 2026, 29(04): 457-463.
[4]	马腾腾, 诸秉根. "全-专"分级精准管理对2型糖尿病低血糖的防治效应：一项随机对照研究[J]. 中国全科医学, 2026, 29(03): 331-339.
[5]	葛立宾, 翟佳燚, 袁婧, 唐燕文, 秦丽, 董铭. 供需双方视角下对功能社区家庭医生角色期望差异的质性研究[J]. 中国全科医学, 2026, 29(02): 155-161.
[6]	余浩, 廖鹏, 罗力. 脑卒中数字疗法：从筛查到干预的进展与挑战[J]. 中国全科医学, 2026, 29(02): 240-246.
[7]	陈丽, 熊卫红, 路孝琴. 经皮冠状动脉介入术后患者用药依从性及影响因素研究[J]. 中国全科医学, 2025, 28(36): 4586-4591.
[8]	刘燕, 袁艳玲, 令榕, 王兰云, 孙丽. 远程医疗在冠心病患者心脏康复中应用的范围综述[J]. 中国全科医学, 2025, 28(36): 4640-4647.
[9]	岑开源, FATIMAH Ahmedy, 陈红, 邵明晨, MEXMOLLEN Marcus, MOHD Fadzli Shukor. 基于运动的心脏康复视角下急性心肌梗死管理：全球现状、多模式干预与个性化策略[J]. 中国全科医学, 2025, 28(36): 4627-4639.
[10]	中国康复科学所, 中国残疾人康复协会社区康复专业委员会, 中国老年保健医学研究会老年康复分会, 南方医科大学附属广东省人民医院（广东省医学科学院）, 广州市康复医学会. 社区老年人肌肉减少症筛查专家共识[J]. 中国全科医学, 2025, 28(36): 4517-4534.
[11]	苏宁, 刘平平, 郭宇濛, 芦明月, 朱瑞, 于建平. 2019—2022年北京市基层传染病防控能力及影响因素研究[J]. 中国全科医学, 2025, 28(35): 4473-4478.
[12]	中国康复医学会社区康复工作委员会. 虚拟现实技术应用于肿瘤相关性失眠居家康复的专家共识（2025年版）[J]. 中国全科医学, 2025, 28(35): 4385-4396.
[13]	何柳华, 金花, 郭爱珍, 于德华. 主动健康导向下社区赋能对基层慢性病管理的作用及实施策略[J]. 中国全科医学, 2025, 28(34): 4311-4317.
[14]	中国康复医学会社区康复工作委员会. 社区肿瘤患者便秘筛查与评估的中国专家共识（2025年版）[J]. 中国全科医学, 2025, 28(34): 4249-4257.
[15]	赵紫淇, 刘明月, 王楠, 罗政豪, 陈新洋, 李峥, 张尚明珠, 张皓若, 陈嘉琦, 郑一展, 张秀军, 武建辉. 生活行为因素与抑郁症的关系：一项基于社区人群的横断面研究[J]. 中国全科医学, 2025, 28(33): 4148-4158.