长期护理模式下中老年脑卒中患者危险因素调查分析  

Analysis of Risk Factors of Long-term Care Modes for the Elderly Patients with Stroke

作　　者：艾亚婷[1] 胡慧[1] 任海蓉[1] 高小莲[1] 王再超[1] 王云翠[1] AI Yating HU Hui REN Hairong GAO Xiaolian WANG Zaichao WANG Yuncui(College of Nursing, Hubei University of Chinese Medicine, Wuhan 43006)

机构地区：[1]湖北中医药大学护理学院,湖北武汉430065

出　　处：《湖北中医药大学学报》2017年第3期93-97,共5页Journal of Hubei University of Chinese Medicine

基　　金：湖北省教育厅科学技术研究项目(项目编号:Q20152001)

摘　　要：目的了解机构式、社区-居家式、家庭式三种长期护理模式下中老年脑卒中患者的危险因素。方法通过横断面调查及体检收集118名中老年脑卒中患者危险因素资料并进行统计分析。结果 36.8%有高血压,25.9%有高血糖,54.5%血脂异常,61.5%有高同型半胱氨酸,26.3%有心脏病史,50.8%有脑卒中家族史,17.8%吸烟,12.7%饮酒,28%缺乏锻炼。三组脑卒中患者血糖、血脂、同型半胱氨酸、心脏病、吸烟、缺少锻炼的控制情况差异有统计学意义(P<0.05),其中血糖控制情况、心脏病史机构组与其他两组差异均有统计学意义(P<0.05),甘油三脂及吸烟控制情况家庭组与其他两组差异均有统计学意义(P<0.05),同型半胱氨酸控制情况机构组与社区-居家组差异有统计学意义(P<0.05),锻炼情况社区居家组与其他两组差异均有统计学意义(P<0.05)。三组血压、血糖、同型半胱氨酸均值差异有统计学意义(P<0.05);其中收缩压均值,机构组与家庭组差异有统计学意义(P<0.05);舒张压和空腹血糖均值,机构组与其他两组差异均有统计学意义(P<0.05);糖化血红蛋白三组两两比较差异均有统计学意义(P<0.05);同型半胱氨酸均值,机构组与社区-居家组差异有统计学意义(P<0.05)。结论脑卒中患者危险因素管理亟待加强,应针对不同长期护理模式下脑卒中患者的特点进行危险因素的差别管理。Objective To understand the risk factors of elderly patients with stroke in the three kinds of long term nursing care modes,such as institution,community-home and family. Methods 118 cases of elderly patients with stroke were collected by cross-sectional survey and medical examination,and then analyzed by proper statistical methods. Results 36. 8% of the patients had hypertension,25. 9% had hyperglycemia,54. 5% had dyslipidemia,61. 5%had high homocysteine,26. 3% had a history of heart disease,50. 8% had a family history of stroke,17. 8% were smokers,12. 7% were drinkers,28% were lack of exercise. The differences of control rate of blood sugar,blood lipids,homocysteine,heart disease,smoking and lack of exercise of the three groups were statistically significant（ P〈0. 05）,the rate of fasting glucose and heart disease history between pension agency and other two groups were both statistically significant（ P〈0. 05）,the control rate of triglyceride and smoking between home group and other two groups were both statistically significant（ P〈0. 05）,the control rate of homocystinemia between pension agency and community-group was statistically significant（ P〈0. 05）,the exercise condition between community group and other two groups were both statistically significant（ P〈0. 05）. The differences of average measurement of blood pressure,blood sugar,homocysteine of the three groups were statistically significant（ P〈0. 05）; the difference of mean systolic blood pressure between pension agency and family group was statistically significant（ P〈0. 05）; the differences of mean diastolic blood pressure and fasting glucose between pension agency and other two groups were both statistically significant（ P〈0. 05）; the difference of mean glycosylated hemoglobin among the three groups was also statistically significant（ P〈0. 05）; the difference of mean homocysteine between pension agency and community-home was statistically significant（ P〈0. 05）.Conclusion It is urgent to streng

关 键 词：脑卒中 危险因素 中老年人 长期护理 

分 类 号：R259[医药卫生—中西医结合]