脑血管支架植入术后患者复诊的个案管理  

Application of the follow-up process based on a case management model in cerebrovascular patients with stents

作　　者：袁玮[1] 任晓凤[1] 亓立峰[2] 杨桂华[1] 杨海新[2] 梁亚慧 杨春玲[1] YUAN Wei;REN Xiaofeng;QI Lifeng;YANG Guihua;YANG Haixin;LIANG Yahui;YANG Chunling

机构地区：[1]聊城市人民医院护理部,山东省聊城市252000 [2]聊城市人民医院神经内科,山东省聊城市252000

出　　处：《中华护理教育》2022年第9期814-818,共5页Chinese Journal of Nursing Education

基　　金：聊城市人民医院青年科研基金项目(LYQN201922)。

摘　　要：目的探讨个案管理模式在脑血管支架植入术后患者复诊管理中的应用效果。方法采用便利抽样法,选取2020年6月—12月在某医院神经内科行脑血管支架植入术后的患者为研究对象。根据所在病区不同(神经内科A区、B区)分为试验组和对照组,试验组120例,对照组121例,试验组应用基于个案管理的复诊流程进行管理,对照组采用常规复诊流程进行管理。出院6个月后比较两组的复诊率、门诊等待时间及患者满意度。结果试验组复诊率(94.58%)高于对照组(72.64%)(χ^(2)=64.941,P<0.001);试验组服药依从性[7.25(7.00,7.86)]高于对照组[7.25(5.25,7.56)(U=5468,P<0.001)];试验组患者门诊等待时间[115(105.25,123.00)min]低于对照组[166(154.50,178.00)min](U=14510,P<0.001);试验组患者满意度[9.25(9.00,10.00)]高于对照组[9.00(8.75,9.25)](U=4402,P<0.001)。结论基于个案管理模式的复诊流程不仅提高了患者的复诊率及用药依从性,减少了门诊等待时间,还提升了患者门诊满意度。Objective To explore the effects of the follow-up process based on a case management model in cerebrovascular patients with stents.Methods Patients who were admitted in the neurology department of a hospital for stents treatment from June to December 2020 were recruited in the study.According to the location of the department(Neurology Area A and Area B),patients were assigned to the interventional group(120 cases)and the control group(121 cases).Patients in the interventional group received follow-up based on a case management model while patients in the control group received routine follow-up.The outpatient clinic revisit rate,waiting time in outpatient clinic,and patients'satisfaction were compared between the two groups in 6 months after discharge.Results The outpatient clinic revisit rate of patients in the interventional group was significantly higher than that of patients in the control group(94.58%vs 72.64%,χ^(2)=64.941,P<0.001).The medica-tion adherence of patients in the interventional group[7.25(7.00,7.86)]was higher than that in the control group[7.25(5.25,7.56)](U=5468,P<0.001).The waiting time in the outpatient clinic in the trial group was significantly lower than that in the control group[115(105.25,123.00)min vs 166(154.5,178.00)min](U=14510,P<0.001).Patients'satisfaction level in the interventional group was higher than that in the control group[9.25(9.00,10.00)vs9.00(8.75,9.25)](U=4402,P<0.001).Conclusion The follow-up process based on a case mana-gement model can improve the revisit rate in the outpatient clinic,medication adherence,reduced outpatient waiting time,and satisfaction level of patients.

关 键 词：脑血管障碍 支架 个案管理 复诊 

分 类 号：R473.74[医药卫生—护理学]