Anycheck健康管理模式对脑卒中患者二级预防与康复的影响研究  

Effect of Anycheck Health Management Model on the Secondary Prevention and Rehabilitation of Stroke Patients

作　　者：管君花[1] 林一萍[1] 苏小君[1] 

机构地区：[1]浙江省台州恩泽医疗中心(集团)路桥医院

出　　处：《医院管理论坛》2018年第1期74-77,69,共5页Hospital Management Forum

摘　　要：目的探讨Anycheck健康管理模式对脑卒中患者二级预防依从性的作用,以及对脑卒中康复治疗效果的影响。方法将2015年5月至2016年5月在我院住院的100例脑卒中患者随机分成Anycheck健康管理组和对照组各50例,两组均给予常规护理及健康教育,Anycheck健康管理组在此基础上,进行医院、社区、家庭三位一体的Anycheck健康管理。结果干预前Anycheck健康管理组患者脑卒中相关知识知晓率与对照组比较差异无统计学意义(P>0.05);干预后,Anycheck健康管理组的知晓率明显高于对照组(P<0.05)。干预后,Anycheck健康管理组患者对脑卒中二级预防依从性明显高于对照组(P<0.05)。干预后,Anycheck健康管理组患者脑卒中复发率明显低于对照组(P<0.05)。干预前两组患者FMMS评分及Barthel指数差异无统计学意义(P>0.05);干预后Anycheck健康管理组的FMMS评分及Barthel指数明显高于对照组(P<0.05)。结论 Anycheck健康管理模式可以提高脑卒中患者二级预防的依从性,改善康复效果,提高运动功能及自理能力,降低脑卒中的复发率。Objective To explore the role of Anycheck health management model in secondary prevention compliance of stroke patients and its effect on stroke rehabilitation. Methods 100 stroke patients hospitalized in our hospital from May 2015 to May 2016 were randomly divided into Anycheck health management group （n=50） and control group （n=50）. Both groups were given routine nursing care and health education. The observation group was given extra Anycheck health management conducted unitedly by hospitals, communities and families. Results Before intervention, here was no significant difference in the awareness rate of stroke related knowledge between Anycheck health management group and control group （P〉0.05）. After intervention, the awareness rate of Anycheck health management group was significantly higher than that of control group （P〈0.05）. After intervention, the compliance of secondary prevention in Anycheck health management group were significantly higher than that in the control group （P〈0.05）. After intervention, the stroke recurrence rate in the Anycheck health management group were significantly lower than that in the control group （P〈0.05）. There was no significant difference in FMMS score and Barthel index between the two groups before intervention （P〉0.05）. After intervention, the FMMS score and Barthel index in Anycheck health management group were significantly higher than that in the control group （P〈0.05）. Conclusion Anycheck health management model can improve the compliance of secondary prevention and rehabilitation, improve motor function and self-care ability, and reduce the stroke recurrence rate for stroke patients.

关 键 词：脑卒中 健康管理 二级预防 依从性 康复 

分 类 号：R473.74[医药卫生—护理学]