脑卒中社区规范化管理效果评价  

Evaluation on Effectiveness of Standardized Management of Community-based Care for Stroke

作　　者：赵亚飞[1] 杜雪平[2] 高大勇[1] 董建琴[2] 白春艳[1] 张艳云[1] 

机构地区：[1]航天中心医院第二门诊部,北京市100049 [2]首都医科大学附属复兴医院

出　　处：《中国全科医学》2011年第13期1441-1443,共3页Chinese General Practice

摘　　要：目的探索脑卒中社区规范化管理的有效模式,对脑卒中患者社区规范化管理的应用效果进行评价。方法选择已经确诊的脑卒中患者202例,按照随机分组的方法分为试验组及对照组。试验组采用《脑卒中社区规范化管理建议》的要求进行管理;对照组继续进行一般化管理。结果试验组健康知识知晓率、健康行为实施率明显提高,与对照组比较差异有统计学意义(P<0.05);药费支出明显降低,试验组以支出3 000元以下者居多,占53.54%,而对照组3 000元以上者所占比例高达76.00%,差异有统计学意义(P<0.01);试验组的生活质量明显改善,脑卒中专用生活质量量表(SS-QOL)得分均值为181.50分,而对照组为153.31分,差异有统计学意义(P<0.05)。结论进行脑卒中社区规范化管理,提高了脑卒中患者的知、信、行水平,降低了医药费用,改善了生活质量,值得推广应用。Objective To discover an effective method of standardized management of community-based care for patients with stroke,and to evaluate its efficiency of application.Methods Totally 202 stroke patients diagnosed were randomly divided as trial group and control group The proposal for standardized management of community-based care was given for patients in the trial group;and was not given for those in the control group.Results The awareness of medical knowledge and the rate of implementing health behavior in the trial group had risen more remarkably than those in the control group（P0.05）.The drug expense was evidently reduced,with 53.54% in the trial group whose expense was less than RMB 3 000 yuan,as compared with 76.00% in the control group,the difference was statistically significant（P0.01）.And the quality of life had a significant improvement,there was a statistical difference between the two groups in SS-QOL scale（181.50 vs 153.31）（P0.05）.Conclusion Implementation of the standardized management of community-based care improves the knowledge,attitude,and behavior of the patients with stroke,reducing their medical bills,and improving their quality of life.It is worth practicing clinically.

关 键 词：脑卒中 疾病管理 干预性研究 

分 类 号：R743[医药卫生—神经病学与精神病学]