全程网络化管理模式在脑卒中康复中的应用  

Application of whole-process network management mode in rehabilitation of cerebral apoplexy

作　　者：王清华[1] 储照虎[2] 许业松[1] 孙爱萍[1] 赵丽 张雪 汪利宗[3] 赵守财[2] 范晓丽 朱玉娟[2] WANG Qing-hua;CHU Zhao-hu;XU Ye-song(Department of Rehabilitation Medicine,Yijishan Hospital of Wan Nan Medical College,Wuhu,Anhui 241001,China)

机构地区：[1]皖南医学院弋矶山医院康复医学科,安徽芜湖241001 [2]皖南医学院弋矶山医院神经内科 [3]皖南医学院弋矶山医院急诊内科

出　　处：《中华全科医学》2018年第12期2077-2079,2127,共4页Chinese Journal of General Practice

基　　金：安徽省卫计委科研计划项目(2016QK058)

摘　　要：目的分析全程网络化管理模式在脑卒中康复中的应用效果。方法选取2016年11月—2018年1月芜湖市及周边地区符合脑卒中入选标准的100例患者进行分级康复。采用随机数字表法分为试验组和对照组,每组50例。试验组采用“全程网络化”管理模式进行康复。对照组采用“家庭传统化”管理模式进行康复。2组患者分别在入组第1天、出院时、出院后1个月和出院后3个月进行康复评定。其中Frenchay活动量表评定患者日常生活自理能力;脑卒中专用生活质量量表(SS-QOL)评定患者的生活质量满意度;社会支持评定量表(SSQ)评定患者受社会支持的程度。结果2组患者在出院后1个月及3个月各量表评分对比,Frenchay评分(F1月=12.563,F3月=37.180)、SS-QOL评分(F1月=23.738、F3月=60.889)、SSQ评分(F1月=85.388、F3月=192.023),2组间得分对比,均P<0.001,试验组得分明显优于对照组。试验组患者出院时、出院后1个月、出院后3个月与入组第1天各量表评分对比差异有统计学意义(均P<0.001)。结论“全程网络化”管理模式对脑卒中康复患者住院期间和出院后患者的日常生活自理能力、生活质量满意度及社会支持状况有积极作用,进而最大程度地推动安徽省脑卒中康复的三级诊疗管理。Objective To observe and evaluate the application of the whole process network management mode in stroke rehabilitation. Methods From November,2016 to January,2018,100 patients who met the criteria of stroke in Wuhu City and its surrounding areas were selected for graded rehabilitation. The patients were randomly divided into experimental group and control group,with 50 patients in each group. The experimental group was rehabilitated by the management mode of“whole process network”. In the control group,the management mode of“family tradition”was used for rehabilitation. Patients in both groups were evaluated 1 day after enrollment,1 month and 3 months after discharge. Frenchay activity scale was used to assess the self-care ability of daily life; the special quality of life scale for stroke ( SS-QQL) was used to evaluate the patients’satisfaction with quality of life; and the social support scale ( SSQ) was used to assess the degree of social support of the patients. Results Compared with control group,scores of Frenchay activity scale,SSQOL scale and SSQ scale of the experimental group at 1 month ( FFrenchay = 12. 563,FSS-QOL = 23. 738,FSSQ = 85. 388) and 3 months ( FFrenchay = 37. 180,FSS-QOL = 60. 889,FSSQ = 192. 023) after discharge were significantly higher ( P < 0. 05) . Compared with experimental group before test,scores of Frenchay activity scale,SS-QOL scale and SSQ scale of the experimental group at discharge1 month after discharge and 3 months after discharge were significantly higher ( P < 0. 05) . Conclusion The“whole process network”management mode can improve the daily living self-care ability, quality of life satisfaction and social support status of patients with stroke rehabilitation during hospitalization and after discharge. It further promotes the three-level diagnosis and treatment management of stroke rehabilitation in Anhui Province to the greatest extent.

关 键 词：全程网络化管理 脑卒中 康复 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]