卒中个案管理师介入脑卒中二级预防的全病程管理的探究  

Investigation of the whole course management of stroke case manager intervening in secondary prevention of stroke

作　　者：邱玉霞 陈美珍 谭琼英 李思苇 QIU Yuxia;CHEN Meizhen;TAN Qiongying;LI Siwei(DepartmentⅡof Brain,Qingyuan People's Hospital,Guangdong,Qingyuan 511500,China)

机构地区：[1]广东省清远市人民医院脑科二区,广东清远511500

出　　处：《中国医药科学》2021年第13期169-172,共4页China Medicine And Pharmacy

基　　金：广东省清远市科技计划项目(190910094568579)。

摘　　要：目的卒中个案管理师介入脑卒中二级预防全病程管理工作,分析患者依从性。方法选取2019年10—12月我院收治的脑卒中患者120例,根据患者护理管理方式不同分为研究组(n=60)与对照组(n=60),对照组采取常规管理,研究组采取全病程个案管理。比较两组患者依从性、出院前后血压水平、焦虑、抑郁评分及卒中再发率。结果研究组患者各项依从性评分高于对照组,差异有统计学意义(P<0.05);出院前两组患者舒张压、收缩压比较,差异无统计学意义(P>0.05),出院后6个月两组舒张压、收缩压均有所改善,研究组改善效果优于对照组,差异有统计学意义(P<0.05);出院前两组患者焦虑、抑郁评分比较,差异无统计学意义(P>0.05),出院后6个月,两组焦虑、抑郁评分均低于出院前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组的卒中再发率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论对脑卒中患者实施全病程个案管理,不仅可以帮助患者提升服药依从性,同时还可有利于血压处于平稳状态,减少疾病复发率,减少不良情绪的发生,因此建议在临床上推广应用。Objective To investigate the whole course management of stroke case manager intervening in secondary prevention of stroke,so as to analyze patients’compliance.Methods A total of 120 stroke patients admitted to and treated in our hospital from October to December 2019 were selected and they were divided into the study group(n=60)and the control group(n=60)according to different nursing management methods.The control group was treated with conventional management,while the study group was treated with the whole course case management.The patients’compliance,blood pressure level,anxiety and depression scores before and after discharge,and stroke relapse rate of the two groups were compared.Results All compliance scores of patients in the study group were higher than those in the control group,with statistically significant differences(P<0.05).Before discharge,there were no statistically significant differences in diastolic blood pressure and systolic blood pressure between the two groups(P>0.05).A total of 6 months after discharge,the diastolic blood pressure and systolic blood pressure in both groups were improved,and the improvement effect of the study group was more significant,with statistically significant differences(P<0.05).Before discharge,there were no statistically significant differences in anxiety and depression scores between the two groups of patients(P>0.05).While a total of 6 months after discharge,the anxiety and depression scores of both groups were lower than before discharge,and t study group was lower than control group,with statistically significant differences(P<0.05).The relapse rate of stroke in the study group was 5.00%,which was lower than 20.00%in the control group,with statistically significant difference(P<0.05).Conclusion The implementation of whole course case management for stroke patients can not only help patients improve their medication compliance,but also help patients keep blood pressure in a stable state,decrease the relapse of diseases and reduce the occurrence of adverse

关 键 词：脑卒中 个案管理师 二级预防 全病程管理 

分 类 号：R473.74[医药卫生—护理学]