延续性随访管理在老年急性脑梗死并发癫痫患者中的应用效果  

Effect of continuous follow-up management in elderly patients with acute cerebral infarction and epilepsy

作　　者：岳晶晶[1] YUE Jingjing(Department of Hematology, First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, China.)

机构地区：[1]河南科技大学第一附属医院血液科,471003

出　　处：《中国老年保健医学》2020年第2期138-140,共3页Chinese Journal of Geriatric Care

摘　　要：目的探讨延续性随访管理在老年急性脑梗死并发癫痫患者中的应用效果。方法将2016年9月至2017年12月我院收治的急性脑梗死并发癫痫患者280例为研究对象,所有患者按照随机数字表法分为对照组与观察组,每组140例。对照组实施常规管理模式,观察组在对照组护理基础上实施延续性随访管理模式。对比两组患者干预前后不良情绪评分及生活质量的变化。结果观察组干预后焦虑(SAS)、抑郁(SDS)评分显著低于干预前及对照组,差异均有统计学意义(P<0.05)。观察组干预后的生活质量评分显著高于干预前及对照组,差异均有统计学意义(P<0.05)。结论对老年急性脑梗死并发癫痫患者给予延续性随访管理可有效改善焦虑、抑郁等不良情绪,提高了预后生活质量,在临床应用中具有较好的推广价值。Objective To explore the effect of continuous follow-up management in elderly patients with acute cerebral infarction complicated by epilepsy or secondary epilepsy.Methods 280 cases of patients with acute cerebral infarction secondary to epilepsy admitted to our hospital from September 2016 to December 2017 were studied.All the patients were divided into control group and observation group according to the random number table method,140 cases in each group.The patients in the control group were given conventional management model,and the patients in the observation group were given continuous follow-up management on the basis of the control group.The changes of pre-and post-intervention anxiety(SAS),depression(SDS)status,and quality of life were compared between the two groups of patients.Results Before intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05);after intervention,SAS and SDS scores in the observation group were lower than those before intervention and in the control group,with statistical significance(P<0.05).Before the intervention,there was no significant difference in the quality of life score between the two groups(P>0.05);after the intervention,the quality of life score of the observation group was higher than that of the pre-intervention group and the control group,the difference was statistically significant(P<0.05).Conclusion Continuing follow-up management of elderly patients with acute cerebral infarction secondary to epilepsy can effectively improve anxiety,depression and other undesirable emotions.At the same time,it effectively improves the quality of life of prognosis and has a good promotion value in clinical application.

关 键 词：延续性随访 老年 急性脑梗死 继发癫痫 焦虑 抑郁 

分 类 号：R473.74[医药卫生—护理学]