信息化三级联动健康管理在脑卒中患者中的应用效果  

Effect of informatization three-level linkage health management in stroke patients

作　　者：兰火连[1] 桑丽清[2] 李瑾娴 Lan Huolian;Sang Liqing;Li Jinxian(Department of Neurology,Lishui Hospital of Traditional Chinese Medicine,Lishui 323000,China;Department of Neurology,Zhejiang Hospital of Traditional Chinese Medicine,Hangzhou 310006,China)

机构地区：[1]丽水市中医院神经内科,丽水323000 [2]浙江省中医院神经内科,杭州310006

出　　处：《中华现代护理杂志》2022年第16期2197-2202,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨信息化三级联动健康管理在脑卒中患者中的应用效果。方法采用便利抽样法,选取2019年1月—2021年1月丽水市中医院收治的136例脑卒中患者为研究对象,按照随机数字表法将其分为观察组和对照组,各68例。观察组给予信息化三级联动健康管理,对照组给予传统三级联动健康管理,干预周期为6个月。比较两组患者干预前后脑卒中自我管理行为量表(SMBSS)、Barthel指数、家庭关怀度指数问卷(APGAR)评分及脑卒中复发情况。结果136例患者中,病情恶化终止干预3例,其他原因终止干预2例,问卷调查无效造成研究数据无参考意义3例,最终观察组纳入65例患者,对照组纳入63例患者。干预6个月后,观察组患者SMBSS、Barthel指数、APGAR评分均高于对照组,差异均有统计学意义(P<0.05);两组患者脑卒中复发率的比较,差异无统计学意义(P>0.05)。结论信息化三级联动健康管理能够提高脑卒中患者自我管理能力及日常生活能力,并能提高其家庭亲密度。Objective To explore the effect of informatization three-level linkage health management in stroke patients.Methods From January 2019 to January 2021,convenience sampling was used to select 136 stroke patients admitted to Lishui Hospital of Traditional Chinese Medicine as the research object.According to the random number table method,the patients were divided into the observation group and the control group,with 68 cases in each group.The observation group was given informatization three-level linkage health management,and the control group received traditional three-level linkage health management,and the intervention period was 6 months.The scores of Self-Management Behavior Scale of Stroke(SMBSS),Barthel Index,Family Adaptation Partnership Growth Affection and Resolve(APGAR)and stroke recurrence were compared between the two groups before and after the intervention.Results Among the 136 patients,the intervention was terminated in three cases due to disease progression,in two cases due to other reasons,and in three cases due to the invalidity of the questionnaire,resulting in no reference significance to the research data.In the end,65 patients were included in the observation group and 63 patients in the control group.After 6 months of intervention,the SMBSS,Barthel index and APGAR scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no statistical difference in the recurrence of stroke between the two groups(P>0.05).Conclusions The informatization three-level linkage health management can improve the self-management ability,daily life ability and family intimacy of stroke patients.

关 键 词：卒中 信息化 健康管理 三级联动 

分 类 号：R473.74[医药卫生—护理学]