强化随访管理在中青年脑卒中患者延续护理中的应用  

Application of intensive follow-up transitional care management to young and middle aged patient with stroke

作　　者：胡琼芳[1] 李贤连[1] 林丽娜[2] 徐珑珑[2] 

机构地区：[1]温州医科大学附属第二医院D21成人监护室,浙江省温州市325000 [2]温州医科大学附属第二医院神经内科,浙江省温州市325000

出　　处：《中国护理管理》2016年第2期231-234,共4页Chinese Nursing Management

摘　　要：目的 :介绍强化随访管理在中青年脑卒中患者延续护理中的应用并调查其效果。方法 :将250例中青年脑卒中患者随机分为对照组(n=125)和干预组(n=125),对照组患者出院后实施门诊随访和电话随访,干预组针对电话随访、门诊随访、入户随访、社区随访给予强化随访管理。比较出院后3个月、6个月、1年两组患者日常生活能力、终点事件发生率、照顾者负荷。结果 :出院后6个月、12个月时,干预组患者日常生活能力水平高于对照组,照顾者负荷低于对照组;干预期内,干预组终点事件发生率低于对照组,差异均有统计学意义(P<0.05)。结论 :强化随访管理能够提高中青年脑卒中患者出院后日常生活能力,降低脑卒中不良事件发生率和照顾者负荷水平。Objective： To explore the effect of the intensive follow-up transitional care management on young and middle aged patients with stroke. Methods： Totally 250 young and middle aged patients with stroke were randomly distributed into the control group（n=125） and the treatment group（n=125）. The control group received regular telephone follow-up and outpatient follow-up after hospital discharge and the treatment group took intensive follow-up management. We compared the capacity in daily life, the incidence rate of end point and the care burden when the patients were discharged at 3months, 6months and one year respectively. Results： There was significantly difference between two groups at the level of capacity in daily life, care burden and incidence rate of end point（P〈0.05）. Conclusion： The intensive following-up transitional care management could increase the level of capacity in daily life but reduce the level of care burden and the incidence rate of end point of young and middle aged patient with stroke.

关 键 词：卒中 护理 随访 延续护理 

分 类 号：R47[医药卫生—护理学]