郑州市城乡脑卒中患者出院3个月后复发风险意识及影响因素的随访调查  

Follow-up Investigation on Recurrence Risk Awareness and Its Influencing Factors of Stroke Patients at 3 Months After Discharge in Urban and Rural Areas of Zhengzhou

作　　者：林蓓蕾[1] 张振香[1] 平智广[2] 梅永霞[1] 张伟宏[1] 翟清华[3] 薛利红[4] 安保霞 LIN Beilei(School of Nursing and Health,Zhengzhou University,Zhengzhou,Henan,450001,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001 [2]郑州大学公共卫生学院,河南郑州450001 [3]郑州大学第二附属医院,河南郑州450014 [4]河南省滑县人民医院,河南安阳456499

出　　处：《医学与社会》2022年第10期40-45,共6页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为72104221;河南省医学科技攻关计划省部共建项目,编号为SBGJ202002014;河南省高校科技创新团队,编号为22IRTSTHN027。

摘　　要：目的:调查郑州市城乡地区脑卒中患者出院3个月后的疾病复发风险意识,分析其影响因素,为制定脑卒中复发风险管理方案提供依据。方法:选取郑州市3家三级及以上医院内出院3个月后的脑卒中患者进行电话随访调查。结果:3586出院脑卒中患者中接受调查者995例,平均年龄(63.45±13.46)岁。城市脑卒中患者复发风险意识略高于农村患者(P<0.05)。Logistic回归分析显示,文化程度高、无业或退休、老年人、接受过医院随访的城乡脑卒中患者更能主观意识到卒中具有复发风险,但复发次数却与个体复发风险意识无显著关联。结论:城乡脑卒中患者普遍缺乏复发风险意识,城市患者复发风险意识略强于农村患者;未来可探索基于地区特征的院内复发风险沟通教育模式,构建适宜的城乡脑卒中患者复发风险管理方案。Objective: To investigate the recurrence risk awareness of stroke patients at 3 months after discharge in urban and rural areas in Zhengzhou, analyze the influencing factors, so as to provide a basis for developing risk management program for stroke recurrence prevention. Methods: A telephone follow-up survey of stroke patients 3 months after discharge was conducted in three tertiary hospitals in Zhengzhou. Results: 3586 stroke patients were selected and 995 were surveyed, with a mean age of(63.45±13.46). The recurrence risk awareness of urban stroke patients was slightly higher than that of rural patients(P<0.05). Logistic regression analysis showed that urban and rural stroke patients who were highly educated, unemployed or retired, elderly, and had received hospital follow-up could be aware of the risk of recurrence. However, the number of recurrences was not significantly associated with patients’ awareness of recurrence risk. Conclusion: The awareness of recurrence risk is generally low among both urban and rural stroke patients, urban stroke patients are slightly higher than that of rural patients. In the future, we should explore regional-based recurrence risk communication and education models to build appropriate recurrence risk management programs for urban and rural stroke patients.

关 键 词：脑卒中 复发风险 随访调查 城乡地区 郑州 

分 类 号：R195.4[医药卫生—卫生统计学]